Jerica Anderson, PT,DPT
Physical Therapist in Buffalo, NY. Individual provider (NPI-1).
NPI number1497123426
StatusActive
Last updated in NPPESSep 17, 2021
Details
- NPI
- 1497123426
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jerica Anderson
- Credential
- PT,DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2015
- Certification date
- Sep 17, 2021
- Last updated
- Sep 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 039950 | NY | Yes |
Practice location
4635 Union RdBuffalo, NY 14225-1851
Phone 716-505-5700
Mailing address
493 71st StNiagara Falls, NY 14304-3247
Phone 716-213-7210
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