Medalla, Andrew

Medalla, Andrew is an sole proprietor health care provider with primary practice located at 31868 Tovenia Dr. , Brownstown MI 48173-8756. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Medalla, Andrew can be contacted via phone (734) 236-4381.

Contact Information

Primary practice address
31868 Tovenia Dr. Brownstown MI 48173-8756
Phone: (734) 236-4381
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1275737694
LBN Legal business name Medalla, Andrew
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2007
Last updated Dec 6th, 2017 - about 9 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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