Individual
MS. ELAINE SUSAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
111 PERRYMONT RD, BLDG #4 OUT PATENT PT DEPT, PITTSBURGH, PA 15237-5246
(412) 438-1595
Mailing address
7 CHAPEL DR, PITTSBURGH, PA 15237-2517
(412) 369-7731
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006748L
PA
2251X0800X
Orthopedic Physical Therapist
PT006748L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39-6841
MEDICARE -CCN
PA
Enumeration date
09/08/2008
Last updated
09/18/2014
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