Individual
MRS. SANDRA M VANARSDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 E FRAZIER AVE, COLUMBIA, KY 42728-1920
(270) 250-1606
Mailing address
112 E FRAZIER AVE, PO BOX 488, COLUMBIA, KY 42728-1920
(270) 250-1606
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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