Individual
MAYA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1765 SECLUSION PT APT D, COLORADO SPRINGS, CO 80918-7959
(612) 404-8481
Mailing address
15820 ADDISON RD, ADDISON, TX 75001-3549
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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