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Individual

MRS. DANETTE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD

Contact information

Practice address
110 WEST 5TH STREET, FAMILY PHYSICAL THERAPY & SPORTS CENTER, PC, LEXINGTON, NE 68850
(308) 324-3700
(308) 324-5217
Mailing address
615 WEST 39TH ST, SUITE A, FAMILY PHYSICAL THERAPY & SPORTS CENTER, PC, KEARNEY, NE 68845-8049
(308) 698-2820
(308) 698-2822

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1213
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02334
BLUECROSS BLUESHIELD
NE
05
10025290100
NE
Enumeration date
05/03/2007
Last updated
04/28/2011
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