Individual
ANDREW JERARD LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
568 N SUNRISE AVE STE 110, ROSEVILLE, CA 95661-3097
(916) 865-1100
Mailing address
1675 VERNON ST UNIT 58, ROSEVILLE, CA 95678-3968
(530) 604-1311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52944
CA
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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