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Individual

SUSAN ANDREK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2606 TEMPLE DR, DAVIS, CA 95618-1530
(530) 746-2115
Mailing address
2606 TEMPLE DRIVE, DAVIS, CA 95618
(530) 746-2115

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1890
CA

Other

Enumeration date
12/30/2014
Last updated
12/30/2014
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