Individual
ANDREW R HERSTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8820 E BROADWAY BLVD, TUCSON, AZ 85710-4035
(520) 829-7741
Mailing address
1808 N 11TH AVE, PHOENIX, AZ 85007-1714
(602) 448-8270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
31388
AZ
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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