Doctor Name: | GLORIA JEAN ANDRUS |
NPI Number: | 1063759447 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 00002579 |
Business Practice Address: | 800 N 5th Ave Ste 2 Sequim, WA - 983823045 |
Business Phone Number: | 3605650790 |
Business Fax Number: | 3605822602 |
Mailing Address: | 800 N 5th Ave Ste 2, SEQUIM |
State: | WA |
Postal Code: | 983823045 |
Phone Number: | 3605650790 |
Fax Number: | 3605822601 |
NPI Enumeration Date: | 01/06/2013 |
NPI Last Update Date: | 01/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 00002579 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |