Individual
MS. JUDITH M ANDERSON
Active
Individual
MS. JUDITH M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005056
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11230127
CAQH
—
01
—
35062
OPTIMA
—
01
—
393690
ANTHEM BLUE CROSS
—
01
—
4980093
VIRGINIA PREMIER HEALTH
—
05
—
4980093
—
VA
01
—
5083706
AETNA
—
01
—
6400313
UNITED HEALTH CARE
—
01
—
9116460
MEDICAID DME
VA
Enumeration date
11/11/2005
Last updated
08/11/2022
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