Individual
JESSICA BRAZELL SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2205 GREGG ST, COLUMBIA, SC 29201-2681
(803) 234-5214
Mailing address
12 SHAGGY BARK CT, ELGIN, SC 29045-8530
(803) 200-4768
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4471
SC
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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