Individual
MISS SANDRA ANN SACCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
504 ELMINGTON AVE, NASHVILLE, TN 37205-2508
(615) 269-4200
Mailing address
504 ELMINGTON AVE, NASHVILLE, TN 37205-2508
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000003577
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA0000003577
STATE OF TN
TN
Enumeration date
06/12/2017
Last updated
06/12/2017
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