Provider Demographics
NPI:1295784411
Name:ANDROFF, ROBERT L (PT, SCD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:L
Last Name:ANDROFF
Suffix:
Gender:M
Credentials:PT, SCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 W. CALLE TRANQUILA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745
Mailing Address - Country:US
Mailing Address - Phone:520-889-1622
Mailing Address - Fax:520-889-1618
Practice Address - Street 1:2900 E. BROADWAY BLVD
Practice Address - Street 2:SUITE 132
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716
Practice Address - Country:US
Practice Address - Phone:520-889-1622
Practice Address - Fax:520-889-1618
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1899225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist