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Organization

BIG SANDY PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SANDRA JOAN ROBERTS RN, BSN, PT (PRESIDENT/ PHYSICAL THERAPIST)
(606) 886-9888
Entity
Organization

Contact information

Practice address
83 DEWEY ST, PRESTONSBURG, KY 41653-7923
(606) 886-9888
(606) 886-9416
Mailing address
83 DEWEY ST, PRESTONSBURG, KY 41653-7923
(606) 886-9888
(606) 886-9416

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002279
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8700146700
KY
Enumeration date
11/01/2007
Last updated
11/01/2007
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