Individual
MS. ILA BETH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
51 SOUTHLAND DR, SUITE 2300, FAIRMONT, WV 26554-2244
(304) 363-3167
(304) 363-1725
Mailing address
56 AIRPORT BLVD, STE. 14, MORGANTOWN, WV 26505-3900
(304) 276-4522
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002589
WV
Other
Enumeration date
12/15/2006
Last updated
06/08/2009
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