Provider Demographics
NPI:1114467537
Name:ANDRUS PHYSIOTHERAPY
Entity Type:Organization
Organization Name:ANDRUS PHYSIOTHERAPY
Other - Org Name:ORTHOHEALTH PHYSIO & PERFORMANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:M
Authorized Official - Last Name:ANDRUS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:856-362-5230
Mailing Address - Street 1:258 N MAIN RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-8235
Mailing Address - Country:US
Mailing Address - Phone:609-432-2854
Mailing Address - Fax:856-362-5844
Practice Address - Street 1:258 N MAIN RD UNIT B
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-8235
Practice Address - Country:US
Practice Address - Phone:856-362-5230
Practice Address - Fax:856-362-5844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-04
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty