Individual
SAMUEL J SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4400 LEAD AVE SE, ALBUQUERQUE, NM 87108-2844
(575) 302-0012
Mailing address
4400 LEAD AVE SE, ALBUQUERQUE, NM 87108-2844
(575) 302-0012
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6148
NM
Other
Enumeration date
04/23/2015
Last updated
12/09/2022
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