Doctor Name: | MS. ILA BETH ANDERSON |
NPI Number: | 1073675146 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 002589 |
Business Practice Address: | 51 Southland Dr Suite 2300 Fairmont, WV - 265542244 |
Business Phone Number: | 3043633167 |
Business Fax Number: | 3043631725 |
Mailing Address: | 56 Airport Blvd, Ste. 14 MORGANTOWN |
State: | WV |
Postal Code: | 265053900 |
Phone Number: | 3042764522 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 06/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 002589 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |