Provider Demographics
NPI:1568667475
Name:ROMERO, ANDREA RENEE (OTR L)
Entity Type:Individual
Prefix:MISS
First Name:ANDREA
Middle Name:RENEE
Last Name:ROMERO
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 1:196 SMOKEY HILLS DR
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-3209
Mailing Address - Country:US
Mailing Address - Phone:510-220-7262
Mailing Address - Fax:
Practice Address - Street 1:339 STEALTH CT
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-9303
Practice Address - Country:US
Practice Address - Phone:925-245-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9335225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand