Individual
MRS. ANDREA M. HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
510 E NAPLES ST, CHULA VISTA, CA 91911-2519
(619) 421-6083
Mailing address
1559 FALLING STAR DR, CHULA VISTA, CA 91915-1809
(619) 941-2958
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
24258
CA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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