| Doctor Name: | MARYBETH MCANDREW |
| NPI Number: | 1013069079 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.T |
| License Number: | 29716 |
| Business Practice Address: | 5480 Marengo Ave La Mesa, CA - 919422408 |
| Business Phone Number: | 6176800513 |
| Business Fax Number: | 6194410419 |
| Mailing Address: | 3943 Riviera Dr Unit C, SAN DIEGO |
| State: | CA |
| Postal Code: | 921095883 |
| Phone Number: | 6176800513 |
| Fax Number: | 6194410419 |
| NPI Enumeration Date: | 01/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 29716 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |