Individual
MARK A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, PHD, ATC
Contact information
Practice address
1600 N PHILLIPS AVE, OKLAHOMA CITY, OK 73104-4619
(405) 271-2131
(405) 271-2432
Mailing address
801 NE 13TH ST, ROOM 239, OKLAHOMA CITY, OK 73104-5005
(405) 271-2131
(405) 271-2432
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
OK940
OK
2251S0007X
Sports Physical Therapist
190
OK
Other
Enumeration date
01/05/2007
Last updated
07/10/2007
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