Provider Demographics
NPI:1750315347
Name:TUIJL, ANDREA (PT)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:
Last Name:TUIJL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:140 W DUVAL MINE RD
Mailing Address - Street 2:SUITE #104
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85614-5000
Mailing Address - Country:US
Mailing Address - Phone:520-207-9345
Mailing Address - Fax:520-207-9435
Practice Address - Street 1:140 W DUVAL MINE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-5000
Practice Address - Country:US
Practice Address - Phone:520-207-9345
Practice Address - Fax:520-207-9435
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ3802225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Z110188Medicare UPIN