Individual
CHARLES H ANDROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST A
Contact information
Practice address
77 WILKINS RD, KINDERHOOK, NY 12106-3100
(518) 653-3316
Mailing address
77 WILKINS RD, KINDERHOOK, NY 12106-3100
(518) 653-3316
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004959-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004959-1
PT LICENSE
NY
Enumeration date
10/03/2017
Last updated
06/16/2018
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