Provider Demographics
NPI:1528197605
Name:OCHOA, ANDREA (PT, DPT, FAAOMPT)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:
Last Name:OCHOA
Suffix:
Gender:F
Credentials:PT, DPT, FAAOMPT
Other - Prefix:MRS
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:TERRAZAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:9931 HYATT RESORT DR
Mailing Address - Street 2:APT 1432
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4164
Mailing Address - Country:US
Mailing Address - Phone:210-896-1433
Mailing Address - Fax:
Practice Address - Street 1:5630 W LOOP 1604 N
Practice Address - Street 2:STE 105
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-3805
Practice Address - Country:US
Practice Address - Phone:210-523-2900
Practice Address - Fax:210-523-2902
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1168858225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J7336OtherMEDICARE NUMBER
TX1168858OtherPT LICENSE
TX8T6984OtherBCBS