Individual
MISTY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6138 MAIN ST, TURIN, NY 13473
(315) 348-8406
Mailing address
701 LENOX AVE, ONEIDA, NY 13421-1500
(315) 363-9281
(315) 363-9286
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010644
NY
Other
Enumeration date
11/21/2017
Last updated
03/17/2018
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