Individual
ANDRA KAY TEMPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4966 HIGHWAY 90, MARIANNA, FL 32446-6814
(850) 526-4766
(850) 526-4866
Mailing address
2886 MAGNOLIA BLOSSOM LN, MARIANNA, FL 32446-6394
(850) 482-4850
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT17330
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886499300
—
FL
Enumeration date
07/05/2006
Last updated
10/11/2011
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