Individual
MR. TIMOTHY D SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
430 E CLEVELAND ST, DELPHOS, OH 45833-1903
(419) 516-3096
Mailing address
430 E CLEVELAND ST, DELPHOS, OH 45833-1903
(419) 516-3096
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
6516
AZ
225X00000X
Occupational Therapist
Primary
OT009558
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TC832398
DRIVER'S LICENSE
OH
Enumeration date
12/20/2016
Last updated
12/20/2016
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