Gwenda Lynn Anderson, PTA
Individual provider Active NPI Physical Therapy Assistant · Smithfield, PA
NPI 1043312002 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043312002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TE006914 (PA)
- Practice address
- 25 Main St
Suite 7
Smithfield, PA 15478-8943 - Phone
- (724) 569-4404
- Fax
- (724) 569-4406
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE006914 | PA | MD | Physical Therapy Assistant |
| 000881 | WV | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE006914 | PA | Yes |
| Physical Therapy Assistant | 225200000X | 000881 | WV |
Addresses
Primary practice location
25 Main St
Suite 7
Smithfield, PA 15478-8943
Mailing address
25 Main St
Suite 7
Smithfield, PA 15478-8943
Phone (724) 569-4404
Other providers in Smithfield, PA
- Aggie Home Care, Inc.
- Miranda Katelyn Bevard
- Magaret Ann Booker
- Lynn Cottrell
- Haylee Crum
- Darlene Friend Counseling & Consultation LLC
All providers in Smithfield, PA · Physical Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.