| NPI | 1215259866 |
|---|---|
| Former Name | ANDREA MICHELLE NEWMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9218) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206360) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2013-02-20 |