Doctor Name: | KIMBERLY ANNE ANDRICH |
NPI Number: | 1265638878 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 10035-024 |
Business Practice Address: | 200 Northpointe Cir Ste 302 Seven Fields, PA - 160467861 |
Business Phone Number: | 8008158577 |
Business Fax Number: | |
Mailing Address: | 456 Clinton Ct, AMHERST |
State: | WI |
Postal Code: | 544069203 |
Phone Number: | 7158247692 |
Fax Number: | |
NPI Enumeration Date: | 06/21/2007 |
NPI Last Update Date: | 01/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 10035-024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |