Organization
ANDERSEN PHYSICAL THERAPY, INC
Active
Parent organization
ANDERSEN PHYSICAL THERAPY, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANDERSEN PHYSICAL THERAPY, INC
Authorized official
JONATHAN LYLE ANDERSEN DPT (CO OWNER)
(209) 549-4626
Entity
Organization
Contact information
Practice address
8807 THORNTON RD STE M, STOCKTON, CA 95209-1863
(209) 475-8568
(209) 475-8582
Mailing address
PO BOX 576276, MODESTO, CA 95357-6276
(209) 522-3523
(209) 549-4625
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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