Individual
MARK DAVID ANDERSEN-NISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 S PEARL ST UNIT 200, ENGLEWOOD, CO 80113-3894
(303) 757-1554
Mailing address
3601 S PEARL ST UNIT 200, ENGLEWOOD, CO 80113-3894
(303) 757-1554
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0015382
CO
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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