Jodie Lee Anderson, PTA

NPI #1508059833 in Lino Lakes, Minnesota

Provider Information

NPI Number: 1508059833
Entity Type: Individual
Name: Jodie Lee Anderson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 21, 2007
Last Updated: Aug 21, 2007

Practice Location

Address: 7455 VILLAGE DR
City: Lino Lakes
State: Minnesota
ZIP Code: 55014-1181
Phone: (651) 717-3480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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