Individual
SANDRA SUE WHITMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71502 WESTERN SKY TRL, MONTROSE, CO 81403-8702
(309) 221-1183
Mailing address
71502 WESTERN SKY TRL, MONTROSE, CO 81403-8702
(309) 221-1183
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
160001475
IL
235Z00000X
Speech-Language Pathologist
146003873
IL
235Z00000X
Speech-Language Pathologist
Primary
SLP.0003661
CO
Other
Enumeration date
03/11/2010
Last updated
05/03/2021
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