Individual
MRS. ANDREA ELIZABETH SPLETSTOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
(503) 530-0632
Mailing address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
(503) 530-0632
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24212
OR
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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