Individual
NATHAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1634 DRURY AVE, EAU CLAIRE, WI 54703-1817
(715) 828-8045
Mailing address
1634 DRURY AVE, EAU CLAIRE, WI 54703-1817
(715) 828-8045
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4092-19
WI
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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