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Individual

DAVID WESLEY SANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
631 E. CRAWFORD ST, SUITE 220, SALINA, KS 67401-5116
(785) 825-2323
(785) 825-2325
Mailing address
631 E. CRAWFORD ST, SUITE 220, SALINA, KS 67401-5116
(785) 825-2323
(785) 825-2325

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02123
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140466
BLUE CROSS AND SHIELD
KS
05
200003430B
KS
Enumeration date
09/02/2006
Last updated
07/06/2012
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