Andico, Keanu

Andico, Keanu is an individual health care provider with primary practice located at 6177 River Crest Dr Ste A , Riverside CA 92507-0728. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Andico, Keanu can be contacted via phone (951) 653-4480.

Contact Information

Primary practice address
6177 River Crest Dr Ste A Riverside CA 92507-0728
Phone: (951) 653-4480
Fax: (951) 653-5051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1376212704
LBN Legal business name Andico, Keanu
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2021
Last updated Sep 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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