Individual
MONTAQUE ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6900 COUNTRY CLUB DR, HUNTINGTON, WV 25705-2000
(304) 733-1060
(304) 733-9284
Mailing address
1808 ROUNDHILL RD, CHARLESTON, WV 25314-1538
(304) 419-4189
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000209
WV
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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