Individual
MR. GERALD JOHN SANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
59385 RYAN ST, MATTAWAN, MI 49071-9578
(269) 668-4257
Mailing address
59385 RYAN ST, MATTAWAN, MI 49071-9578
(269) 668-4257
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003868
MI
Other
Enumeration date
11/03/2006
Last updated
07/24/2007
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