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Individual

ANDREW P REARDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4151 FOOTHILL RD, SANTA BARBARA, CA 93110-1110
(805) 681-7781
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93106-2106
(615) 591-6601

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8150
TN
225100000X
Physical Therapist
Primary
PT297890
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT297890
MEDICAL LICENSE
CA
Enumeration date
09/16/2008
Last updated
02/10/2020
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