Individual
MRS. REBECCA ROSE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
Mailing address
12317 RENATA DR, BLACK HAWK, SD 57718-9373
(605) 920-0659
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0265
SD
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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