Organization
ANDERSEN PHYSICAL THERAPY, INC.
Active
Parent organization
ANDERSEN PHYSICAL THERAPY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANDERSEN PHYSICAL THERAPY, INC.
Authorized official
JONATHAN LYLE ANDERSEN DPT (CO-OWNER)
(209) 549-4626
Entity
Organization
Contact information
Practice address
4230 N GOLDEN STATE BLVD, TURLOCK, CA 95382-8841
(209) 549-4626
(209) 549-4625
Mailing address
PO BOX 576276, MODESTO, CA 95357-6276
(209) 522-3523
(209) 549-4625
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/18/2024
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