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NPI Code Detail

MEDICARE: ANDREA L GETTMAN DPT, OTR/L

MEDICARE: ANDREA L GETTMAN DPT, OTR/L
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
1225X00000XOccupational Therapist2011003187MO
2225100000XPhysical Therapist2011007122MO

General Provider Information

NPI Number : 1578855292
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA L GETTMAN DPT, OTR/L
Provider Business Mailing Address
First Line : 2315 HIGHWAY K
Second Line :
City : O FALLON
State : MO
Zip : 63368-8659
Country : US
Telephone Number : 636-265-1505
Fax Number : 636-266-2112
Provider Business Practice Location Address
First Line : 951 WATERBURY FALLS DR
Second Line :
City : O FALLON
State : MO
Zip : 63368-2202
Country : US
Telephone Number : 636-336-0300
Fax Number : 636-336-0297
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2011
Last Update Date : 05/20/2019

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