| Doctor Name: | ANDREA WASYLOW |
| NPI Number: | 1023085735 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT/ATC/LAT |
| License Number: | 9744 |
| Business Practice Address: | 2005 Bay St Taunton, MA - 027801085 |
| Business Phone Number: | 5088287265 |
| Business Fax Number: | |
| Mailing Address: | 18 Juniper Ln, REHOBOTH |
| State: | MA |
| Postal Code: | 027691906 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 9744 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MA |
| 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 |