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1730227778
MARTIN LEE ANDERSON
PROVIDENCE, UT
NPI
1730227778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 2850272401)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
-- MARTIN LEE ANDERSON PT
169 SPRINGCREEK PKWY
PROVIDENCE, UT 84332-9707
Phone number: 435-755-8500
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Mailing Address
-- MARTIN LEE ANDERSON PT
2380 N 400 E
NORTH LOGAN, UT 84341-1749
Phone number: 435-713-9700
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