Individual
ANDRE B CARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60780941
WA
2251X0800X
Orthopedic Physical Therapist
PT19433
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00640460
RAILROAD MEDICARE
FL
Enumeration date
10/17/2005
Last updated
06/05/2018
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