LYLE ANDERSEN, PT

Physical Therapist

Active Individual
NPI: 1265413918

Practice Address

1917 COFFEE RD
Modesto, CA 95355

Phone: (209) 549-4626

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes PT5278 (CA)

Frequently Asked Questions

NPI 1265413918 is the National Provider Identifier for LYLE ANDERSEN, PT, a Physical Therapist provider located in Modesto, CA. This NPI was enumerated on November 9, 2005.
LYLE ANDERSEN, PT practices at 1917 COFFEE RD, Modesto, CA 95355.

Quick Facts

NPI
1265413918
Type
Individual
Enumerated
Nov 9, 2005
Last Updated
Apr 17, 2017