Individual
MS. LETECIA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6630 S MCCARRAN BLVD, SUITE A4, RENO, NV 89509-6158
(775) 828-2866
(775) 828-2891
Mailing address
6630 S MCCARRAN BLVD, SUITE A4, RENO, NV 89509-6158
(775) 828-2880
(775) 828-2889
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1253
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500695
—
NV
01
—
11426111
CAQH
NV
Enumeration date
04/25/2006
Last updated
07/20/2010
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