Individual
TYGE L SANBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1500 S CASE ST, CARTHAGE, MO 64836-2813
(417) 359-0625
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-4662
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02404
KS
225100000X
Physical Therapist
117352
MO
Other
Enumeration date
06/25/2021
Last updated
08/25/2021
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