Individual
REBECCA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
130 MEDICAL CIR, WINCHESTER, VA 22601-3322
(540) 667-7076
(540) 667-5773
Mailing address
112 WINNS CIR, WINCHESTER, VA 22602-6940
(540) 722-9591
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2305002388
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004944
—
WV
05
—
3810004945
—
VA
Enumeration date
11/09/2006
Last updated
12/09/2014
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