Individual
ANDREW CHARLES PERICH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3560 ROUTE 309, ST LUKES PHYSICAL THERAPY, OREFIELD, PA 18069-2001
(610) 366-8502
(610) 366-8508
Mailing address
PO BOX 3340, NEW VALLEY REHAB, EASTON, PA 18043-3340
(484) 851-3386
(484) 851-3469
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015788
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1436633
HIGHMARK
PA
01
—
1436633
BLUE SHIELD PA HIGHMARK
—
01
—
20034125
AMERIHEALTH MERCY
—
01
—
2120963000
HMO KEYSTONE EAST
—
01
—
3336072
HMO
—
01
—
50018519
CAPITAL
PA
01
—
50018519
CAPITAL ADVANTAGE BLUE CR
—
01
—
7524519
PPO
—
01
—
PT015788
US DEPT OF LABOR
—
Enumeration date
06/07/2006
Last updated
07/08/2007
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