MARK EDWARD ANDERSEN

VALLEJO, CA
NPI1285617076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT7772)
Enumeration Date2005-11-25
Last Update Date2008-10-21
Business Address
MARK EDWARD ANDERSEN P.T.
127 HOSPITAL DR #101
VALLEJO, CA 94589-2500
Phone number: 707-552-8795
Mailing Address
MARK EDWARD ANDERSEN P.T.
860 SOUTHAMPTON RD
BENICIA, CA 94510-1907
Phone number: 707-745-6144