Organization
ANDERSON PHYSICAL THERAPY ETC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE LYNN LHUILLIER (CONTROLLER)
(814) 670-0534
Entity
Organization
Contact information
Practice address
3232 STATE ROUTE 257, SENECA, PA 16346-2434
(814) 676-6675
(814) 676-6886
Mailing address
PO BOX 248, SENECA, PA 16346-0248
(814) 670-0534
(814) 676-6886
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030640
MEDICARE PTAN
PA
05
—
1007575500027
—
PA
01
—
117852
HEALTH AMERICA
PA
01
—
839944
HIGHMARK
PA
01
—
CG7782
RAILROAD
PA
01
—
CG7783
RAILROAD
PA
Enumeration date
08/25/2005
Last updated
08/22/2025
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