LYLE MELVIN ANDERSEN

MODESTO, CA
NPI1265413918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT5278)
Enumeration Date2005-11-09
Last Update Date2017-04-17
Business Address
-- LYLE MELVIN ANDERSEN PT
1917 COFFEE RD
MODESTO, CA 95355-2704
Phone number: 209-549-4626
Mailing Address
-- LYLE MELVIN ANDERSEN PT
1917 COFFEE RD
MODESTO, CA 95355-2704
Phone number: 209-549-4626
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