Individual
BRUCE A ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
420 B ST, YUBA CITY, CA 95991-5070
(530) 749-3475
(530) 749-3446
Mailing address
420 B ST, YUBA CITY, CA 95991-5070
(530) 749-3475
(530) 749-3446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7839
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00776459
RAILROAD MEDICARE
CA
05
—
PT0078390
—
CA
Enumeration date
07/11/2006
Last updated
12/27/2010
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