Individual
DANNY E SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
511 MOLLIE BLVD, HOLBROOK, NY 11741-2946
(516) 984-1059
(631) 588-0911
Mailing address
511 MOLLIE BLVD, HOLBROOK, NY 11741-2946
(516) 984-1059
(631) 588-0911
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
009301
NY
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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