Individual
AMY SANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
18480 COCHRAN BLVD, PORT CHARLOTTE, FL 33948-3379
(941) 249-4261
Mailing address
1255 YACHT CLUB DR, VENICE, FL 34293-5673
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24043
FL
Other
Enumeration date
06/11/2016
Last updated
06/11/2016
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