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1821371428
KELLY ANDERSON
HUNTINGTON BEACH, CA
NPI
1821371428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA AT2533)
Enumeration Date
2011-09-21
Last Update Date
2011-09-21
Business Address
-- KELLY ANDERSON PTA
9441 SHADWELL DR
HUNTINGTON BEACH, CA 92646-7213
Phone number: 714-930-5878
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Mailing Address
-- KELLY ANDERSON PTA
9441 SHADWELL DR
HUNTINGTON BEACH, CA 92646-7213
Phone number: 714-930-5878
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