Provider Demographics
NPI:1891762456
Name:MCMATH, ANDREA M (PT)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:M
Last Name:MCMATH
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:845 W CARMEL DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-5804
Mailing Address - Country:US
Mailing Address - Phone:317-566-1858
Mailing Address - Fax:317-566-1920
Practice Address - Street 1:845 W CARMEL DR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-5804
Practice Address - Country:US
Practice Address - Phone:317-566-1858
Practice Address - Fax:317-566-1920
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN05004588225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist