Individual
MR. ANDREW AKIRA SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPHTYST, BSCAPP(HMS)
Contact information
Practice address
1201 N 6TH ST, MILWAUKEE, WI 53212-3360
(917) 216-1704
Mailing address
441 E ERIE ST UNIT 231, MILWAUKEE, WI 53202-6103
(917) 216-1704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13998-24
WI
225100000X
Physical Therapist
62034868
NY
Other
Enumeration date
09/24/2012
Last updated
02/09/2018
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