MEDICARE: ANDERS INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1245413202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDERS INCORPORATED

Provider Business Mailing Address
First Line	:	2368 CRATER LAKE AVE STE 103
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97504-5006
Country	:	US
Telephone Number	:	541-773-2999
Fax Number	:

Provider Business Practice Location Address
First Line	:	2368 CRATER LAKE AVE STE 103
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97504-5006
Country	:	US
Telephone Number	:	541-773-2999
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AARON D ANDERS
Credential	:	PT
Telephone Number	:	541-773-2999

Provider Enumeration Date	:	12/13/2007
Last Update Date	:	12/13/2007

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Directions to “ANDERS INCORPORATED ” Practice Location

Language	Start Address	Practice Location

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