Individual provider · Type 1 NPI

Andrea Ruth Raftery, P.T.

Pediatric Physical Therapist · San Clemente, CA

NPI number 1609095058 Active

Practice location

1120 Via Callejon, Suite B
San Clemente, CA 92673-6213

Fax (949) 366-5665

Mailing address

1120 Via Callejon Ste B
San Clemente, CA 92673-6264

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X28007 (CA)

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 1609095058

Andrea Ruth Raftery, P.T.'s National Provider Identifier is 1609095058, issued on Apr 24, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in San Clemente, CA. The record was last updated on Apr 28, 2016.