NPI 1578458600
Michael P Andrew, CTRS
Practice location
- Address
- 1 Med Center Dr, Clarksburg, WV 26301-4155
- Phone
- (304) 623-3461
- Mailing address
- 83 Elkwood Dr, Bridgeport, WV 26330-6743
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1578458600
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Jun 2025
- Record last updated
- 10 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.