Individual
MS. SABLE M SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
321 FLORA GENE AVE W STE D, WIGGINS, MS 39577-5010
(601) 523-1994
(601) 523-1995
Mailing address
321 FLORA GENE AVE W STE D, WIGGINS, MS 39577-5010
(601) 523-1994
(601) 523-1995
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6648
MS
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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