Provider Demographics
NPI:1558984047
Name:NEWTON, ANDREA DELABIAN (PT)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:DELABIAN
Last Name:NEWTON
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 1:4700 CATHERINE RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:SC
Mailing Address - Zip Code:29571-7741
Mailing Address - Country:US
Mailing Address - Phone:843-423-5583
Mailing Address - Fax:
Practice Address - Street 1:4700 CATHERINE RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:SC
Practice Address - Zip Code:29571-7741
Practice Address - Country:US
Practice Address - Phone:843-423-5583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2861225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist