Lydia D Anderson, DPT
Physical Therapist in Edmond, OK. Individual provider (NPI-1).
NPI number1609381979
StatusActive
Last updated in NPPESJul 5, 2019
Details
- NPI
- 1609381979
- Entity type
- Individual (NPI-1)
- Name
- Lydia D Anderson
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2017
- Last updated
- Jul 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 23611 | MA | Yes |
Practice location
3224 Orchard AveEdmond, OK 73012-9645
Phone 719-244-8147 · Fax 719-244-8147
Mailing address
1180 Beacon StSte 6c
Brookline, MA 02446-3806
Phone 719-244-8147
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