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NPI Code Detail

MEDICARE: ANDREA LAUREN TADROSS PT

MEDICARE: ANDREA LAUREN TADROSS PT
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 TherapistP20432NC

General Provider Information

NPI Number : 1154034130
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA LAUREN TADROSS PT
Provider Business Mailing Address
First Line : 4214 N ROXBORO ST STE 100
Second Line :
City : DURHAM
State : NC
Zip : 27704-1888
Country : US
Telephone Number : 919-479-9001
Fax Number : 919-479-9003
Provider Business Practice Location Address
First Line : 4214 N ROXBORO ST STE 100
Second Line :
City : DURHAM
State : NC
Zip : 27704-1888
Country : US
Telephone Number : 919-479-9001
Fax Number : 919-479-9003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2023
Last Update Date : 12/19/2025

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Directions to “ ANDREA LAUREN TADROSS PT” Practice Location

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