Individual
ANDREW JOSEPH ULLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3939 HOUMA BLVD STE 17, METAIRIE, LA 70006-2921
(504) 885-9121
(504) 885-0322
Mailing address
1100 CIRCLE 75 PKWY SE, STE 1400, ATLANTA, GA 30339-3067
(504) 885-9121
(504) 885-0322
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
09642
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09642
DPT LICENSE NUMBER
LA
Enumeration date
06/01/2017
Last updated
07/21/2022
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