Vandervort, Andrea Reeves

Vandervort, Andrea Reeves is an individual health care provider with primary practice located at 2910 Roxburgh Dr , Roswell GA 30076-2427. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Vandervort, Andrea Reeves can be contacted via phone (901) 896-9754.

Contact Information

Primary practice address
2910 Roxburgh Dr Roswell GA 30076-2427
Phone: (901) 896-9754
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 006718
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 006718 Georgia

Profile Details

NPI number 1881103711
LBN Legal business name Vandervort, Andrea Reeves
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2017
Last updated Jul 21st, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881103711 NPPES
Georgia Other 006718 OCCUPATIONAL THERAPY

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