Provider Demographics
NPI:1265824510
Name:BROWNLEE, ANDREANA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ANDREANA
Middle Name:
Last Name:BROWNLEE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ANDREANA
Other - Middle Name:
Other - Last Name:PISANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:37699 6 MILE RD
Mailing Address - Street 2:STE 200
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-2695
Mailing Address - Country:US
Mailing Address - Phone:734-953-4155
Mailing Address - Fax:734-953-1622
Practice Address - Street 1:43050 FORD RD
Practice Address - Street 2:STE 100
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-3359
Practice Address - Country:US
Practice Address - Phone:734-844-9130
Practice Address - Fax:734-844-9135
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501017133225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist