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Individual

GARY EDWIN ANDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
800 S WILBUR AVE, SYRACUSE, NY 13204-2732
(315) 689-1281
Mailing address
108 MEADOW LN, ELBRIDGE, NY 13060-9713
(315) 689-1281

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0086361
NY

Other

Enumeration date
03/09/2007
Last updated
02/11/2008
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