| Contact Information | |
|---|---|
| First Name | Andrea |
| Last Name | Twining |
| Address | 1844 Wendell Ave |
| City | Lima |
| State | OH |
| Province | |
| Zip/Postal Code | 45805 |
| Country | United States |
| Home Phone | 419 - 225-7875 |
| Work Phone | - |
| Fax | |
| waynesworld@woh.rr.com | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Andrea - Twining |
| Date of Injury | 02/13/2003 |
| Type of Injury | Traumatic |