Individual
MRS. LISA MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.,C.
Contact information
Practice address
3200 S WATER ST, PITTSBURGH, PA 15203-2307
(412) 432-3770
Mailing address
220 CAMPBELL AVE, BUTLER, PA 16001-3062
(724) 287-7670
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001790A
PA
Other
Enumeration date
10/25/2005
Last updated
04/01/2008
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