NPI 1972790087

Jeff L Anderson

Practitioner Orthotic Fitter Modesto, CA

Practice location

Address: 937 Coffee Rd, Modesto, CA 95355-4240
Phone: (209) 529-7221

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1972790087
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2007
Record last updated: 2 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.