Mark Edward Andersen in Benicia - Physical Therapist
Mark Edward Andersen - NPI 1285617076
Mark Edward Andersen is a Physical Therapist in Benicia, California. Mark Edward Andersen practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Mark Edward Andersen is 1285617076. The last update date is 2008-10-21.
Mark Edward Andersen's current location address is 860 Southampton Rd, Benicia, California. You can contact this provider via phone number 7077456144 and fax number 7077455698. The mailing address for Mark Edward Andersen is 860 Southampton Rd, Benicia, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Edward Andersen |
|---|---|
| Address | 860 Southampton Rd, Benicia, California |
| Phone Number | 7077456144 |
| Fax Number | 7077455698 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1285617076 |
|---|---|
| Provider Enumeration Date | 2005-11-25 |
| Last Updated Date | 2008-10-21 |
Provider Mailing Address Detail
| Address | 860 Southampton Rd |
|---|---|
| City | Benicia |
| State | California (CA) |
| Post Code | 945101907 |
| Phone Number | 7077456144 |
| Fax Number | 7077455698 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT7772 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the Mark Edward Andersen's 1285617076?
The Mark Edward Andersen's NPI (National Provider Identifier) Number is 1285617076. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark Edward Andersen?
The Mark Edward Andersen is situated at 860 Southampton Rd, in the city of Benicia, state of CA, with the zip code 945101907.
What is Mark Edward Andersen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Edward Andersen is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
When did the Mark Edward Andersen receive its 1285617076?
The Mark Edward Andersen was issued its 1285617076 on 2005-11-25, which is the date when the organization was assigned this unique identifier.
As of what date were the Mark Edward Andersen's details last updated?
The information pertaining to the Mark Edward Andersen, including its address, specialty, and other details, was most recently updated on 2008-10-21.