Individual
SANDRA ALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001494A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05001494A
LICENSE
IN
01
—
PT 003142
LICENSE
OH
Enumeration date
02/22/2010
Last updated
01/08/2021
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