Individual
ABAGAIL SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6363 S TRENTON AVE, TULSA, OK 74136-0741
(918) 745-9868
(918) 745-0199
Mailing address
10910 E 61ST ST, APT 225, TULSA, OK 74133-1531
(918) 344-8049
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2009008006
MO
2255A2300X
Athletic Trainer
Primary
600
OK
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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