Provider Demographics
NPI:1710003041
Name:SPENGLER, ANDREA (DPT)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:
Last Name:SPENGLER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 KAREN DR
Mailing Address - Street 2:
Mailing Address - City:SILVER CREEK
Mailing Address - State:NY
Mailing Address - Zip Code:14136-1319
Mailing Address - Country:US
Mailing Address - Phone:716-725-4978
Mailing Address - Fax:
Practice Address - Street 1:7 KAREN DR
Practice Address - Street 2:
Practice Address - City:SILVER CREEK
Practice Address - State:NY
Practice Address - Zip Code:14136-1319
Practice Address - Country:US
Practice Address - Phone:716-725-4978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029117-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics