KEANU ANDICO PT
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1376212704- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PT
- Status
- Active
Contact & Location
- Address
- 6177 RIVER CREST DR STE A, RIVERSIDE, CA, 925070728
- Phone
- (951) 653-4480
- Fax
- (951) 653-5051
Specialties & Taxonomies
Physical Therapy Assistant
Primary