MEDICARE: KAREN ANDERSON PT

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	225100000X	Physical Therapist	2041	MA

General Provider Information

NPI Number	:	1346314267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN ANDERSON PT

Provider Business Mailing Address
First Line	:	20 EAST ST
Second Line	:
City	:	HANOVER
State	:	MA
Zip	:	02339-1638
Country	:	US
Telephone Number	:	781-826-8309
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 EAST ST
Second Line	:
City	:	HANOVER
State	:	MA
Zip	:	02339-1638
Country	:	US
Telephone Number	:	781-826-8309
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	07/08/2007

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Directions to “ KAREN ANDERSON PT” Practice Location

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