Individual
JAY J ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9120 METCALF AVE, OVERLAND PARK, KS 66212-1408
(913) 257-5627
Mailing address
5132 MAPLE AVE, MISSION, KS 66202-1824
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06742
KS
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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