Most Relevant Information
Provider Data
| NPI Number: | 1003005901 |
| Provider Name: | NINA M ANDERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2306601527 |
Most Important Dates
| Enumeration Date: | 10/17/2007 |
| Last Updated: | 10/17/2007 |
Provider Practice Location
1201 PROUST RD
VIRGINIA BEACH
VA
234546648
Practice Location Phone/Fax
| Phone: | 7574272828 |
| Fax: |
Provider Mailing Location
1201 PROUST RD
VIRGINIA BEACH
VA
234546648
Provider Mailing Phone/Fax
| Phone: | 7574272828 |
| Fax: |