Individual
ANDREW MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 HARRIS CT BLDG T, MONTEREY, CA 93940-5750
(845) 521-8222
Mailing address
9540 E MAIDEN CT, VERO BEACH, FL 32963-4591
(845) 521-8222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
298562
CA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/06/2016
Last updated
11/05/2020
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