Individual
DIANA ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
550 GLENWOOD DR, MOORESVILLE, NC 28115-2876
(704) 664-7494
Mailing address
136 MADELIA PL, MOORESVILLE, NC 28115-5795
(704) 657-7348
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3750
NC
Other
Enumeration date
06/11/2007
Last updated
11/26/2014
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