Individual
SANDRA NATHALY C ANDROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1350 HILLRISE CIR, LAS CRUCES, NM 88011-4759
(575) 526-1161
(575) 523-1108
Mailing address
2600 EAST IDADO AVE, APT 196 N, LAS CRUCES, NM 88011
(915) 238-9076
(575) 523-1108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
A-0805
NM
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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