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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. ANDREA LORENE IDE, PT

Active

MRS. ANDREA LORENE IDE, PT is a Physical Therapy Assistant healthcare provider located in NEWARK, New York. NPI 1255978540 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · NEWARK, NY

Registration Details

NPI Number
1255978540
Provider Type
Individual
Gender
Female
NPI Issued
Dec 5, 2019 (6.6655547411092 yrs)
Last Updated
Dec 5, 2019
License
024986-1 (NY)

Practice Information

Address
1200 DRIVING PARK AVE
NEWARK, NY, 145131090
Browse NY providers · Browse ZIP 14513
Phone
3153322289
Fax
3153322472
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in NEWARK, NY

Name Credential NPI
MARTHA WEMETT P.T. 1245337385
JAMES NATHAN OLMSTEAD P.T. 1356448468
MRS. AMANDA TEMPLE P.T. 1649378753
MRS. SARAH ELIZABETH SMITH MSPT 1982764833
LISA SCOTT PT 1669509303
DONNA MICHELLE GOLDEN PT 1568593424
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.