Doctor Name: | MRS. FAITH ANGELI ANDERSON |
NPI Number: | 1831108448 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1085371 |
Business Practice Address: | 100 N Hwy 77 Suite F Raymondville, TX - 785804000 |
Business Phone Number: | 9566895301 |
Business Fax Number: | 9566892004 |
Mailing Address: | Po Box 92, RAYMONDVILLE |
State: | TX |
Postal Code: | 785800092 |
Phone Number: | 9566895301 |
Fax Number: | 9566892004 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 04/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 1085371 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |