Provider Demographics
NPI:1245586189
Name:TERWILLIGER, ANITA MAURHOFF (PT)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:MAURHOFF
Last Name:TERWILLIGER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 TECHNOLOGY DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-1801
Mailing Address - Country:US
Mailing Address - Phone:724-482-0111
Mailing Address - Fax:
Practice Address - Street 1:104 TECHNOLOGY DR
Practice Address - Street 2:SUITE 101
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1801
Practice Address - Country:US
Practice Address - Phone:724-482-0111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT003926L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist