Individual ProviderLora Lee AndersonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9550 Upland Ln N, Suite 120, Maple Grove, MN 55369-4481(763) 537-6000PECOS EnrollmentBased on the most recent information from CMS, provider Lora Lee Anderson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1801084033Provider TypeIndividualFull NameAnderson, Lora LeeCredentialLPTGenderFemaleSole ProprietorNoEnumeration Date10/12/2007Last Updated4/15/2010Contact InformationPractice LocationPractice Address9550 Upland Ln N, Suite 120, Maple Grove, MN 55369-4481Phone(763) 537-6000Fax(763) 537-6666Mailing LocationMailing Address2104 Northdale Blvd NW, Suite 220, Minneapolis, MN 55433-3028Phone(763) 537-6000Fax(763) 537-6666Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense4908Minnesota