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Individual

MRS. GWENDA LYNN ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
25 MAIN ST, SUITE 7, SMITHFIELD, PA 15478-8943
(724) 569-4404
(724) 569-4406
Mailing address
25 MAIN ST, SUITE 7, SMITHFIELD, PA 15478-8943
(724) 569-4404
(724) 569-4406

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
000881
WV
225200000X
Physical Therapy Assistant
Primary
TE006914
PA

Other

Enumeration date
09/01/2006
Last updated
07/08/2007
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