Search › Massachusetts › 2251P0200X
Andrea Roush, PT, MBA, C/NDT, CEIS
NPI 1396153052 · on the registry since 2014 · sole proprietor
Practice
- Address
- 126 Phoenix Avenue, Building #2
Thom Anne Sullivan Early Intervention Program
Lowell, MA 01852 - Phone
- (978) 453-8331
- Organisation at this address
- Mspcc
Mspcc
Douglas A. Thom Clinic, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 203
Registry record
- Primary taxonomy
- 2251P0200X
2251P0200X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts