Individual provider · NPI-1

Cassandra Anderson

Physical Therapist · Minneapolis, MN

NPI number1730673229
StatusActive
Last updated in NPPESMar 20, 2019

Details

NPI
1730673229
Entity type
Individual (NPI-1)
Name
Cassandra Anderson
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2018
Last updated
Mar 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist11170MNYes
225100000X Physical Therapist––

Practice location

909 Fulton St Se
Minneapolis, MN 55455-4800

Phone 612-672-7422

Mailing address

2512 S 7th St
Minneapolis, MN 55454-1404

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