Provider Demographics
NPI:1427407147
Name:ANDREWS, DEIRDRE D (OTR/L)
Entity Type:Individual
Prefix:
First Name:DEIRDRE
Middle Name:D
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 ROUTE 28
Mailing Address - Street 2:
Mailing Address - City:S YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-5254
Mailing Address - Country:US
Mailing Address - Phone:508-619-4344
Mailing Address - Fax:508-619-4388
Practice Address - Street 1:833 ROUTE 28
Practice Address - Street 2:
Practice Address - City:S YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-5254
Practice Address - Country:US
Practice Address - Phone:508-619-4344
Practice Address - Fax:508-619-4388
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-03
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10130225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAS400310931Medicare PIN