Individual
MRS. AMY ALISON SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2960 N EASTGATE AVE, SPRINGFIELD, MO 65803-5746
(417) 889-9773
Mailing address
603 N JERICO ST, NIXA, MO 65714-8963
(417) 725-7964
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
109688
MO
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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