Individual
SANDRA ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1570 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-4174
(417) 820-7233
Mailing address
3660 S COX AVE APT 2501, SPRINGFIELD, MO 65807-6955
(314) 651-5201
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2019013500
MO
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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