Individual
ANDREW M KLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1202 E MAIN ST, HAVELOCK, NC 28532-2405
(252) 447-4005
(252) 447-4001
Mailing address
PO BOX 13609, NEW BERN, NC 28561-3609
(252) 636-9800
(252) 636-1945
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8751
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078JF
BLUE CROSS BLUE SHIELD
NC
05
—
7211375
—
NC
Enumeration date
02/02/2006
Last updated
03/04/2008
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