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Individual

MRS. ANDREA ROUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, MBA, C/NDT, CEIS

Contact information

Practice address
126 PHOENIX AVENUE, BUILDING #2, THOM ANNE SULLIVAN EARLY INTERVENTION PROGRAM, LOWELL, MA 01852
(978) 453-8331
Mailing address
126 PHOENIX AVENUE, BUILDING #2, THOM ANNE SULLIVAN EARLY INTERVENTION PROGRAM, LOWELL, MA 01852
(978) 453-8331

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
12141
MA

Other

Enumeration date
07/25/2014
Last updated
07/25/2014
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