Individual
HERNAN EMILIO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3146 NW CACHE RD APT 210, LAWTON, OK 73505-3856
(580) 678-2108
Mailing address
3146 NW CACHE RD APT 210, LAWTON, OK 73505-3856
(580) 678-2108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11046
FL
225100000X
Physical Therapist
Primary
2350
OK
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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