Individual provider · Type 1 NPI
Andrea Roush, PT, MBA, C/NDT, CEIS
Pediatric Physical Therapist · Lowell, MA
Practice location
126 Phoenix Avenue, Building #2, Thom Anne Sullivan Early Intervention Program
Lowell, MA 01852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 12141 (MA) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1396153052
Andrea Roush, PT, MBA, C/NDT, CEIS's National Provider Identifier is 1396153052, issued on Jul 25, 2014. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Lowell, MA. The record was last updated on Jul 25, 2014.