Individual
MRS. SANDRA SUE AMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T. ASSISTANT
Contact information
Practice address
14737 ROSS AVE, SAN JOSE, CA 95124-4617
(408) 445-2474
(408) 445-2474
Mailing address
14737 ROSS AVE, SAN JOSE, CA 95124-4617
(408) 445-2474
(408) 445-2474
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT1313
CA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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