Provider Demographics
NPI:1598943193
Name:TEMBY, ANDREW L (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:L
Last Name:TEMBY
Suffix:
Gender:M
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 1:20 FIRE ROAD 10
Mailing Address - Street 2:APT#1
Mailing Address - City:LANCASTER
Mailing Address - State:MA
Mailing Address - Zip Code:01523-3008
Mailing Address - Country:US
Mailing Address - Phone:970-417-2648
Mailing Address - Fax:
Practice Address - Street 1:20 FIRE ROAD 10
Practice Address - Street 2:APT#1
Practice Address - City:LANCASTER
Practice Address - State:MA
Practice Address - Zip Code:01523-3008
Practice Address - Country:US
Practice Address - Phone:970-417-2648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1015210225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist