| Doctor Name: | MR. RUDI GASTON ANDRIES |
| NPI Number: | 1356556120 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | PT 15118 |
| Business Practice Address: | 3140 Waterman Way Tavares, FL - 327785252 |
| Business Phone Number: | 3522533892 |
| Business Fax Number: | |
| Mailing Address: | Po Box 895, TAVARES |
| State: | FL |
| Postal Code: | 327780895 |
| Phone Number: | 3523432941 |
| Fax Number: | |
| NPI Enumeration Date: | 05/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 15118 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |