MR. Jon Richard Anderson, PTA
NPI #1962371963 in Fort Benning, Georgia
Provider Information
- NPI Number
- 1962371963
- Entity Type
- Individual
- Name
- MR. Jon Richard Anderson, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other
- Credential
- PTA
- Enumeration Date
- Oct 30, 2025
- Last Updated
- Oct 30, 2025
Practice Location
- Address
- 6998 OLD CUSSETA RD
- City
- Fort Benning
- State
- Georgia
- ZIP Code
- 31905-5431
- Phone
- (706) 626-1598
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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