Individual
MRS. ANDREA MARIE TRAUTHWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2655 COMMONS BLVD, SUITE 120, BEAVERCREEK, OH 45431-3773
(937) 320-9131
(937) 320-9132
Mailing address
2208 FAUVER AVE, DAYTON, OH 45420-2523
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010414
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000259070
ANTHEM PIN
OH
05
—
0108341
—
OH
Enumeration date
10/24/2006
Last updated
07/08/2007
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