Individual
MS. ELIZA MARIA TERESA ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3852 CREAMERY RD, DE PERE, WI 54115-9210
(920) 338-9670
(920) 338-9680
Mailing address
3852 CREAMERY RD, DE PERE, WI 54115-9210
(920) 338-9670
(920) 338-9680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4767-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11452706
CAQH CREDENTIAL NUMBER
—
05
—
40241300
—
WI
01
—
7266513
AETNA PROVIDER PW
—
Enumeration date
05/23/2006
Last updated
12/07/2021
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