Individual
JUSTIN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
253 N SANTA ANITA AVE, ARCADIA, CA 91006-3114
(626) 294-0070
(626) 294-0080
Mailing address
253 N SANTA ANITA AVE, ARCADIA, CA 91006-3114
(626) 294-0070
(626) 294-0080
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
296893
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CA
Enumeration date
08/06/2019
Last updated
08/06/2019
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