Individual
MS. ANDREA LYNN BLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., M.A.
Contact information
Practice address
29001 CEDAR RD, SUITE 500, LYNDHURST, OH 44124-4062
(440) 461-6600
(440) 461-6140
Mailing address
29001 CEDAR RD, SUITE 500, LYNDHURST, OH 44124-4062
(440) 461-6600
(440) 461-6140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2044
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000134667
ANTHEM INDIV PIN
OH
01
—
000000166668
ANTHEM GROUP PIN
OH
05
—
0816595
—
OH
01
—
341586636-00
BUREAU OF WORKERS COMPENS
OH
Enumeration date
08/15/2006
Last updated
07/08/2007
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