Shanice Anderson

NPI #1962184770 in Wpafb, Ohio

Provider Information

NPI Number: 1962184770
Entity Type: Individual
Name: Shanice Anderson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Aug 1, 2023
Last Updated: Apr 16, 2024

Practice Location

Address: 4881 SUGAR MAPLE DR
City: Wpafb
State: Ohio
ZIP Code: 45433-5529
Phone: (937) 257-9038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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