Individual
MS. JOAN H. ANDERSON
Active
Individual
MS. JOAN H. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01025
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217253
ANTHEM BCBS
—
01
—
001714135
MOUNTAIN STATE BCBS
—
05
—
0156111000
—
WV
01
—
1386663276
NPI
—
01
—
2221036
MOLINA MEDICAID
OH
01
—
650019668
RR MEDICARE
—
Enumeration date
07/19/2006
Last updated
08/07/2014
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