Individual
CODI ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1378 MAIN ST, CARBONDALE, CO 81623-1840
(970) 963-6600
Mailing address
1378 MAIN ST, CARBONDALE, CO 81623-1840
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0012315
CO
Other
Enumeration date
03/02/2014
Last updated
03/02/2014
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