Individual
MS. ANDREA H ROUSSOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
180 LOS ANGELES BLVD, SAN ANSELMO, CA 94960-1647
(141) 525-9028
Mailing address
180 LOS ANGELES BLVD, SAN ANSELMO, CA 94960-1647
(141) 525-9028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25281
CA
Other
Enumeration date
02/18/2007
Last updated
07/08/2007
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