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1003916057
MARK A ANDERSON
SANDY, UT
NPI
1003916057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: 1115262401)
Enumeration Date
2006-09-22
Last Update Date
2010-06-18
Business Address
-- MARK A ANDERSON PT
885 EAST 9400 SOUTH
SANDY, UT 84094-3670
Phone number: 801-562-0066
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Mailing Address
-- MARK A ANDERSON PT
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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