Individual
CHEYANNE SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1874 TICE VALLEY BLVD, WALNUT CREEK, CA 94595-2224
(925) 935-0510
(925) 935-0510
Mailing address
1874 TICE VALLEY BLVD, WALNUT CREEK, CA 94595-2224
(925) 935-0510
(925) 935-0510
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49425
CA
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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