Individual
MARK BRIAN SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT1571
WY
225100000X
Physical Therapist
Primary
PTL.0013275
CO
Other
Enumeration date
05/28/2015
Last updated
07/21/2022
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