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NPI Code Detail

MEDICARE: ANDREA STAIR

MEDICARE: ANDREA STAIR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT7232FL

General Provider Information

NPI Number : 1093944951
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA STAIR
Provider Business Mailing Address
First Line : 4910 HAITI CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32808-1727
Country : US
Telephone Number : 407-463-9284
Fax Number :
Provider Business Practice Location Address
First Line : 4910 HAITI CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32808-1727
Country : US
Telephone Number : 407-463-9284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2009
Last Update Date : 04/25/2012

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Directions to “ ANDREA STAIR ” Practice Location

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