Individual
DR. THOMAS SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
40 GLENRIDGE DR, AUGUSTA, ME 04330-6606
(207) 626-2600
Mailing address
40 GLENRIDGE DR, AUGUSTA, ME 04330-6606
(207) 626-2600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4778
NM
225100000X
Physical Therapist
Primary
PT5377
ME
Other
Enumeration date
02/09/2016
Last updated
06/01/2019
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