MRS. Raquel Lynn Anderson, PTA

NPI #1548446230 in Muskegon, Michigan

Provider Information

NPI Number: 1548446230
Entity Type: Individual
Name: MRS. Raquel Lynn Anderson, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: PTA
Enumeration Date: Jan 13, 2008
Last Updated: Jan 13, 2008

Practice Location

Address: 1212 E SHERMAN BLVD
City: Muskegon
State: Michigan
ZIP Code: 49444-1879
Phone: (231) 672-6940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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