| Doctor Name: | DR. MICHAEL ALLEN ANDERS |
| NPI Number: | 1023114840 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 026310-1 |
| Business Practice Address: | 526 Old Liverpool Rd Suite 4 Liverpool, NY - 130886238 |
| Business Phone Number: | 3154577005 |
| Business Fax Number: | 3154577214 |
| Mailing Address: | 718 Old Liverpool Rd, LIVERPOOL |
| State: | NY |
| Postal Code: | 130886035 |
| Phone Number: | 3154577005 |
| Fax Number: | 3154577214 |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 01/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 026310-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |