Individual
MARIE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, STE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
6310 SAWMILL WOODS DR, FORT WAYNE, IN 46835-8717
(260) 417-0414
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001244A
IN
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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