Provider Demographics
NPI:1023392339
Name:DRUMM, ANDREA ALLEN (OT)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:ALLEN
Last Name:DRUMM
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8685 ERIE RD.
Mailing Address - Street 2:CARRIER EDUCATIONAL CENTER
Mailing Address - City:ANGOLA
Mailing Address - State:NY
Mailing Address - Zip Code:14006-9620
Mailing Address - Country:US
Mailing Address - Phone:716-549-4454
Mailing Address - Fax:716-549-0217
Practice Address - Street 1:10469 BANTLE RD
Practice Address - Street 2:
Practice Address - City:NORTH COLLINS
Practice Address - State:NY
Practice Address - Zip Code:14111-9781
Practice Address - Country:US
Practice Address - Phone:716-337-2015
Practice Address - Fax:716-337-3001
Is Sole Proprietor?:No
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003147225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist