Individual
GREGORY SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4785 PROMINENT MESA VW APT 310, COLORADO SPRINGS, CO 80924-8610
(719) 373-0983
Mailing address
4785 PROMINENT MESA VW APT 310, COLORADO SPRINGS, CO 80924-8610
(719) 373-0983
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3299
AZ
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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