Andre, Susan E.

Andre, Susan E. is an individual health care provider with primary practice located at 12345 Alta Vista Rd Ste 113 , Fort Worth TX 76244-6436. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Andre, Susan E. can be contacted via phone (682) 593-2550.

Contact Information

Primary practice address
12345 Alta Vista Rd Ste 113 Fort Worth TX 76244-6436
Phone: (682) 593-2550
Fax: (817) 540-5633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 105821 Texas

Profile Details

NPI number 1013191428
LBN Legal business name Andre, Susan E.
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2007
Last updated May 8th, 2024 - about 4 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013191428 NPPES
Texas Other TXB115376 MEDICARE PTAN

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