Provider Demographics
NPI:1962742338
Name:ANDRICH, PATRICIA (OTR/L)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:ANDRICH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10139 ROYALTON RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-4472
Mailing Address - Country:US
Mailing Address - Phone:440-230-0923
Mailing Address - Fax:440-786-5086
Practice Address - Street 1:10139 ROYALTON RD
Practice Address - Street 2:SUITE D
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-4472
Practice Address - Country:US
Practice Address - Phone:440-230-0923
Practice Address - Fax:440-786-5086
Is Sole Proprietor?:No
Enumeration Date:2013-02-22
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH225X00000X, 225XP0200X
225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation