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Contact Information

LESLIE A ANDERSON, PT
3500 TOWER AVE
SUPERIOR, WI54880
 Phone: 715-817-7100
 Fax: 715-817-7039
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LESLIE A ANDERSON · (Female)

NPI Number 1578686622
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 04/06/2007
Last updated 08/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 070.011396
  • WI License # 4475
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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