Individual
MS. LISA A SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1702 HILLCREST DR, BELLEVUE, NE 68005-3652
(402) 682-6569
Mailing address
1602 GRANDVIEW AVE APT 5, PAPILLION, NE 68046-5813
(402) 860-1851
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
916
NE
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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