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Individual

ANDREAS SCHENK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1224 10TH ST, SUITE 204, CORONADO, CA 92118-3416
(619) 437-6450
Mailing address
1224 10TH ST, SUITE 204, CORONADO, CA 92118-3416
(619) 437-6450

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT17427
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
WPT17427B
MCARE IND PROV # EASTLAKE
CA
01
WPT17427C
MCARE IND PROV # CORONADO
CA
Enumeration date
06/26/2006
Last updated
09/26/2007
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