Individual
MR. PETER ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1365 MEDICAL PKWY, CARSON CITY, NV 89703-4653
(775) 786-3040
(775) 788-5254
Mailing address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 786-1887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100561002
—
NV
01
—
13850106
CAQH
NV
Enumeration date
02/16/2015
Last updated
04/29/2022
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