Individual
SARAH ELAINE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
128 SOUTH CANAL, CARLSBAD, NM 88220
(505) 628-0503
Mailing address
3510 FILLMORE ST, MINOT, ND 58701-7296
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0558
NM
225200000X
Physical Therapy Assistant
PTA-494
ND
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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