Provider Demographics
NPI:1336499474
Name:WARNER, ANDREA FRANCINE (PT)
Entity Type:Individual
Prefix:MISS
First Name:ANDREA
Middle Name:FRANCINE
Last Name:WARNER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4125 HUNTERS PARK LN STE 116
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-7615
Mailing Address - Country:US
Mailing Address - Phone:407-855-0614
Mailing Address - Fax:407-855-0615
Practice Address - Street 1:4125 HUNTERS PARK LN STE 116
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-7615
Practice Address - Country:US
Practice Address - Phone:407-855-0614
Practice Address - Fax:407-855-0615
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-17
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL41451225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist