Provider Demographics
NPI:1275881872
Name:SCHWEITZER, ANDREW OMEED (PT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:OMEED
Last Name:SCHWEITZER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 PRESIDIO AVE
Mailing Address - Street 2:APT. 206
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2957
Mailing Address - Country:US
Mailing Address - Phone:415-928-9470
Mailing Address - Fax:
Practice Address - Street 1:750 PRESIDIO AVE
Practice Address - Street 2:APT. 206
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2957
Practice Address - Country:US
Practice Address - Phone:415-928-9470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36709225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist