| Doctor Name: | SANDRA NATHALY C ANDROVICH |
| NPI Number: | 1174787089 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PTA |
| License Number: | A-0805 |
| Business Practice Address: | 1350 Hillrise Cir Las Cruces, NM - 880114759 |
| Business Phone Number: | 5755261161 |
| Business Fax Number: | 5755231108 |
| Mailing Address: | 2600 East Idado Ave, Apt 196 N LAS CRUCES |
| State: | NM |
| Postal Code: | 88011 |
| Phone Number: | 9152389076 |
| Fax Number: | 5755231108 |
| NPI Enumeration Date: | 07/10/2008 |
| NPI Last Update Date: | 07/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | A-0805 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| 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 |