Individual
ANDREW JAMES HARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
662 COUNTRY SIDE DR, SUITE 105, COLUMBIA CITY, IN 46725-1102
(260) 244-5133
Mailing address
PO BOX 670, COLUMBIA CITY, IN 46725-0670
(260) 244-5133
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008688A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000007636771
ANTHEM BLUE CROSS
IN
Enumeration date
08/28/2006
Last updated
07/08/2007
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