Doctor Name: | MR. JAMES MICHAEL ANDELIN |
NPI Number: | 1023067006 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 2305006053 |
Business Practice Address: | 12882 Patrick Henry Hwy Amelia, VA - 230023929 |
Business Phone Number: | 8045611617 |
Business Fax Number: | 8045611618 |
Mailing Address: | 2570 Glenridge Ct, POWHATAN |
State: | VA |
Postal Code: | 231395954 |
Phone Number: | 8045989356 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305006053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |