Provider Demographics
NPI:1215499892
Name:AMIN, ANDREA SCHWEIZER (PT)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:SCHWEIZER
Last Name:AMIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:SCHWEIZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:6912 FINIAN DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-2685
Mailing Address - Country:US
Mailing Address - Phone:910-232-1761
Mailing Address - Fax:
Practice Address - Street 1:83 CAVALIER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-4503
Practice Address - Country:US
Practice Address - Phone:910-232-1761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8136225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist