Provider Demographics
NPI:1023225422
Name:PRESS, ANDREA RUTH (OT, CHT)
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:RUTH
Last Name:PRESS
Suffix:
Gender:F
Credentials:OT, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1728 EXETER DR
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-3009
Mailing Address - Country:US
Mailing Address - Phone:321-223-6920
Mailing Address - Fax:321-631-5365
Practice Address - Street 1:1982 US HIGHWAY 1
Practice Address - Street 2:SUITE 102
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-3723
Practice Address - Country:US
Practice Address - Phone:321-631-5366
Practice Address - Fax:321-631-5365
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT231225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand