Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEANU ANDICO, PT
ActiveKEANU ANDICO, PT is a Occupational Therapist healthcare provider located in RIVERSIDE, California. NPI 1376212704 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · RIVERSIDE, CA
Registration Details
- NPI Number
- 1376212704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2021 (4.9586637416715 yrs)
- Last Updated
- Sep 9, 2021
Practice Information
- Address
-
6177 RIVER CREST DR STE ARIVERSIDE, CA, 925070728Browse CA providers · Browse ZIP 92507
- Phone
- 9516534480
- Fax
- 9516535051
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in RIVERSIDE, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. CARLEEN MAE GAYO FERNANDEZ | CARLEEN FERNANDEZ | 1245446640 |
| MARC HOKAMA | — | 1588994164 |
| ANNA M ELKINS | PTA | 1942514575 |
| MR. ERIK MAURICIO FARIAS | MPT | 1790064475 |
| TRICIA FAELDAN SUAREZ | P.T.A. | 1790068567 |
| MR. JAMES DAVID WINN | ATC | 1295175479 |
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.