Individual
JULIA ANDRIOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 S LINCOLN ST, LOWELL, AR 72745-9782
(479) 967-2322
Mailing address
PO BOX 2109, RUSSELLVILLE, AR 72811-2109
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3966
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209900721
—
AR
Enumeration date
10/19/2015
Last updated
10/19/2015
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