| NPI | 1720395510 |
|---|---|
| Former Name | ANDREA NICOLE FOOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 6417) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NV 2484) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: OR 6417) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: WA PT60199887) | |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2011-03-31 |