Individual
CARLIE SANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
924 MCKINLEY AVE, DETROIT LAKES, MN 56501-3504
(218) 234-2907
Mailing address
924 MCKINLEY AVE, DETROIT LAKES, MN 56501-3504
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5238
MN
Other
Enumeration date
06/09/2025
Last updated
04/25/2026
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