Individual
ALFREDO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1307 W TODD LN, JASPER, IN 47546-9696
(812) 259-9716
Mailing address
1307 W TODD LN, JASPER, IN 47546-9696
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005003A
IN
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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