Individual
MARK ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
870 W MAIN ST, GENEVA, OH 44041-1219
(440) 415-0178
Mailing address
224 TELLING DR, GENEVA, OH 44041-8100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4142
OH
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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