Provider Demographics
NPI:1699383000
Name:HARWIG, ANDREA YIN-MING (DPT, GCS)
Entity Type:Individual
Prefix:MISS
First Name:ANDREA
Middle Name:YIN-MING
Last Name:HARWIG
Suffix:
Gender:F
Credentials:DPT, GCS
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:HARWIG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:21237 LASSEN ST UNIT 3
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-6831
Mailing Address - Country:US
Mailing Address - Phone:181-821-6951
Mailing Address - Fax:
Practice Address - Street 1:21237 LASSEN ST UNIT 3
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-6831
Practice Address - Country:US
Practice Address - Phone:181-821-6951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA229422251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Single Specialty