MRS. Amy Southerland Anderson, PT

NPI #1053733188 in Crestview, Florida

Provider Information

NPI Number: 1053733188
Entity Type: Individual
Name: MRS. Amy Southerland Anderson, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jan 8, 2014
Last Updated: Jan 8, 2014

Practice Location

Address: 4432 GOLDFINCH WAY
City: Crestview
State: Florida
ZIP Code: 32539-8716
Phone: (850) 603-0317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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