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Individual
SANDRA DANIELS
Active
Individual
SANDRA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3090
TN
225100000X
Physical Therapist
PT3090
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3650983
—
TN
01
—
4015383
BLUE CROSS BS
TN
Enumeration date
09/20/2006
Last updated
03/17/2018
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