Individual
ANDREW PAUL ABRAHAM
Active
Individual
ANDREW PAUL ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2369
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150971721
—
AR
01
—
5X493
BLUE CROSS BLUE SHIELD
AR
Enumeration date
11/08/2005
Last updated
06/16/2008
Update your record
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