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Contact Information

ANDREA OVERSTREET
3117 SHORE DR
SUITE 101
MARINETTE, WI54143
 Phone: 715-732-5111
 Fax: 715-732-0628
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for ANDREA OVERSTREET · (Female)

NPI # 1801235809
Status Active
Credentials
Entity Individual
Enumeration date 06/24/2013
Last updated 06/24/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 202419
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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