Individual
ANDREA IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
517 N CONCORD RD, CRAWFORDSVILLE, IN 47933-9002
(765) 362-9122
Mailing address
517 N CONCORD RD, CRAWFORDSVILLE, IN 47933-9002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004362A
IN
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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