Individual
ANDREW WHITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
333 SW 5TH ST, GRANTS PASS, OR 97526-2509
(541) 507-9894
Mailing address
333 SW 5TH ST, GRANTS PASS, OR 97526-2509
(541) 507-9894
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
201155
OR
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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