Individual
PATRICIA E SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
84 CENTRAL AVE, WAILUKU, HI 96793-1725
(808) 879-5591
(808) 879-5591
Mailing address
PO BOX 508, KIHEI, HI 96753-0508
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1356
CO
225100000X
Physical Therapist
Primary
561
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-1412-4
HMSA PROVIDER NUMBER
HI
Enumeration date
10/26/2006
Last updated
04/19/2016
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