Individual
MISS ALISON NISSA SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
163000
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163000
STATE LICENSE
OR
Enumeration date
06/05/2009
Last updated
09/03/2020
Update your record
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