Individual
MR. ANDREW J MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1201 23RD ST, BAKERSFIELD, CA 93301-2306
(661) 327-4357
(661) 327-1758
Mailing address
1201 23RD ST, BAKERSFIELD, CA 93301-2306
(661) 327-4357
(661) 327-1758
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
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