Individual provider · NPI-1

Debra L. Anderson

Physical Therapist · Cleveland, OH

NPI number1831788173
StatusActive
Last updated in NPPESOct 3, 2023

Details

NPI
1831788173
Entity type
Individual (NPI-1)
Name
Debra L. Anderson
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 12, 2021
Certification date
Oct 3, 2023
Last updated
Oct 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist002715OHYes
208100000X Physical Medicine & RehabilitationPT-2715OH

Practice location

1260 Edsal Dr
Cleveland, OH 44124-2363

Phone 216-659-6793

Mailing address

1260 Edsal Dr
Cleveland, OH 44124-2363

Phone 216-659-6793

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