Individual
KADE ANDERSON
Active
Individual
KADE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-4936
ID
225100000X
Physical Therapist
PT41787
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41787
STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
01
—
PT-4936
ID STATE LICENSE
ID
Enumeration date
02/09/2017
Last updated
08/28/2024
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