Individual
RICHARD HENRY SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
56299 29 PALMS HWY, YUCCA VALLEY, CA 92284-2857
(760) 367-1743
Mailing address
56299 29 PALMS HWY, YUCCA VALLEY, CA 92284-2857
(760) 367-1743
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10139
CA
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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