Individual
CARL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1208 S MILITARY TRL, DEERFIELD BEACH, FL 33442-8709
(954) 481-2304
Mailing address
4105 W ATLANTIC BLVD APT 315, COCONUT CREEK, FL 33066-1754
(912) 515-9108
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT24209
FL
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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