Individual
TAMMY SUE SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
601 GATEWAY N, CHESTERTON, IN 46304-9658
(219) 921-1401
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000477A
IN
Other
Enumeration date
08/20/2006
Last updated
12/20/2007
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