Individual
ANDREW SOMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1935 SPRINGBROOK SQUARE DR, NAPERVILLE, IL 60564-5947
(630) 637-9955
Mailing address
30W281 SMALL TREE CT, WARRENVILLE, IL 60555-1343
(630) 551-5241
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008800
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16000880
PTA LICENSE
IL
Enumeration date
10/30/2019
Last updated
10/30/2019
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