Individual
JOHN-HENRY ANDERSON
Active
Individual
JOHN-HENRY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6672
OR
225100000X
Physical Therapist
PT60210474
WA
2251S0007X
Sports Physical Therapist
1876
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500639222
—
OR
Enumeration date
10/20/2005
Last updated
02/17/2012
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