Individual
MR. ANDREW J MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
36391
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS611Z
MEDICARE PTAN
CA
01
—
ZZZ21296Z
MEDICARE GROUP PTAN
CA
Enumeration date
12/28/2009
Last updated
02/15/2010
Update your record
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