Provider Demographics
NPI:1386241974
Name:GRINDLE, ANDREA LEWANDOWSKI (DPT)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:LEWANDOWSKI
Last Name:GRINDLE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 503
Mailing Address - Street 2:
Mailing Address - City:HOPWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:15445-0503
Mailing Address - Country:US
Mailing Address - Phone:724-880-6280
Mailing Address - Fax:
Practice Address - Street 1:146 OLD OAKS ROAD
Practice Address - Street 2:
Practice Address - City:HOPWOOD
Practice Address - State:PA
Practice Address - Zip Code:15445
Practice Address - Country:US
Practice Address - Phone:724-880-6280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT012083-L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist