Provider Demographics
NPI:1205077815
Name:SANTMAN, ANDREA L (PT)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:L
Last Name:SANTMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7731 MARY CASSATT DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3226
Mailing Address - Country:US
Mailing Address - Phone:301-816-9500
Mailing Address - Fax:186-622-7088
Practice Address - Street 1:4990 BOILING BROOK PKWY
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2300
Practice Address - Country:US
Practice Address - Phone:301-816-9500
Practice Address - Fax:186-622-7088
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD163552251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics