Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW HAVERSTOCK
Active Sole ProprietorANDREW HAVERSTOCK is a Pediatric Occupational Therapy healthcare provider located in FRANKFORT, Illinois. NPI 1407074693 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapy · FRANKFORT, IL
Registration Details
- NPI Number
- 1407074693
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2007 (19.286706113054 yrs)
- Last Updated
- Oct 15, 2015
- Licenses
-
070012822 (IL)070012822 (IL)05007676A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
344 S WALNUT RIDGE CTFRANKFORT, IL, 604232129Browse IL providers · Browse ZIP 60423
- Phone
- 2192290322
- Fax
- 7084792111
- Primary Specialty
-
Pediatric Occupational Therapy
2251P0200X
- Additional Specialty
- Pediatric Occupational Therapy
- Additional Specialty
- Physical Therapy Assistant
Other Pediatric Occupational Therapy Providers in FRANKFORT, IL
| Name | Credential | NPI |
|---|---|---|
| DR. GAYLE L. JAZO | D.P.T. | 1164619417 |
| DR. MATT COLIN CASSIDY | DPT | 1285095190 |
| MRS. BRITTNEY GALOS | PT, DPT | 1508301979 |
| JULIE ANN BRADY | PT | 1750896163 |
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.