Individual provider · NPI-1

Eric Michael Andersen, DPT

Physical Therapist · Minneapolis, MN

NPI number1609208693
StatusActive
Last updated in NPPESAug 1, 2013

Details

NPI
1609208693
Entity type
Individual (NPI-1)
Name
Eric Michael Andersen
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Aug 1, 2013
Last updated
Aug 1, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist8901MNYes

Practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Phone 612-273-3000

Mailing address

2450 Riverside Ave
Minneapolis, MN 55454-1450

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