Individual
MS. TAMMY J SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
4742 WILLOWBROOK DR, SPRINGFIELD, OH 45503-5840
(937) 399-3794
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.08538
OH
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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