Individual
LISA SANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2778 COUNTRY CLUB DR, HAMPSTEAD, NC 28443-8028
(910) 270-1443
Mailing address
2778 COUNTRY CLUB DR, HAMPSTEAD, NC 28443-8028
(910) 270-1443
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5100
NC
Other
Enumeration date
05/24/2013
Last updated
07/11/2013
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