Individual
ANDREA STACHURSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
3519 N GREEN RIVER RD, EVANSVILLE, IN 47715-1347
(812) 473-7253
(812) 473-7264
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005220
KY
225100000X
Physical Therapist
Primary
05009003A
IN
Other
Enumeration date
07/31/2006
Last updated
04/18/2016
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