Individual
ANDREA SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3745 SUMMER CREST DR, SAN ANGELO, TX 76901-9782
(325) 942-7700
Mailing address
3326 TIMBER RIDGE DR, SAN ANGELO, TX 76904-6908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1203688
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1203688
PT LICENSE
TX
Enumeration date
11/01/2018
Last updated
11/01/2018
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