Organization
ANDRESOURCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD MATTHEW ANDRES OT (MANAGING MEMBER)
(920) 497-1515
Entity
Organization
Contact information
Practice address
1050 CIRCLE DR, SUITE B, GREEN BAY, WI 54304-5568
(920) 497-1515
(920) 497-1513
Mailing address
1050 CIRCLE DR, SUITE B, GREEN BAY, WI 54304-5568
(920) 497-1515
(920) 497-1513
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2007
Last updated
02/17/2011
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