Individual
MR. ANDREW M MASHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
56836 MEADOWOOD DR, ELKHART, IN 46516-5838
(574) 215-3396
(574) 293-9908
Mailing address
56836 MEADOWOOD DR, ELKHART, IN 46516-5838
(574) 215-3396
(574) 293-9908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002483A
IN
225X00000X
Occupational Therapist
5201007685
MI
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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