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1053518977
MONTAQUE ANN ANDERSON
HUNTINGTON, WV
NPI
1053518977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WV 000209)
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
-- MONTAQUE ANN ANDERSON PTA
6900 COUNTRY CLUB DR
HUNTINGTON, WV 25705-2000
Phone number: 304-733-1060
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Mailing Address
-- MONTAQUE ANN ANDERSON PTA
1808 ROUNDHILL RD
CHARLESTON, WV 25314-1538
Phone number: 304-419-4189
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