Individual
MRS. DEBORAH K ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5201 WALNUT AVENUE, STE 4, DOWNERS GROVE, IL 60515-4025
(630) 964-4707
(630) 964-4797
Mailing address
5201 WALNUT AVENUE, STE 4, DOWNERS GROVE, IL 60515-4025
(630) 964-4707
(630) 964-4797
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA46560299P
E.I. CREDENTIAL NUMBER
IL
Enumeration date
05/16/2006
Last updated
07/08/2007
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