NPI 1609381979 · live from the CMS NPI Registry
Lydia D Anderson, DPT
Physical Therapist in Edmond, OK. National Provider Identifier 1609381979, active.
NPI record
| NPI | 1609381979 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 3224 Orchard Ave, Edmond, OK 73012 |
| Practice phone | 719-244-8147 |
| Mailing address | 1180 Beacon St, Ste 6c, Brookline, MA 02446 |
| Enumerated | December 8, 2017 |
| Last updated | July 5, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 23611 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.