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Individual

THOMAS SANDY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
3435 N HOLLAND SYLVANIA RD, TOLEDO, OH 43615-1411
(419) 841-9852
(419) 843-2727
Mailing address
3435 N HOLLAND SYLVANIA RD, TOLEDO, OH 43615-1411
(419) 841-9852
(419) 843-2727

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
LPO234
OH
224P00000X
Prosthetist
Primary
LPO234
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2225121
OH
Enumeration date
03/07/2013
Last updated
03/07/2013
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