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Individual

MR. ANDREW D SHERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
53 HASTINGS AVE, VENTURA, CA 93003-2303
(805) 340-4103
Mailing address
53 HASTINGS AVE, VENTURA, CA 93003-2303
(805) 340-4103

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26014
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
056608
MEDICARE PROVIDER ID
CA
Enumeration date
05/26/2011
Last updated
06/28/2011
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