Individual
MS. PHYLLIS L SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED ATC
Contact information
Practice address
6030 DAYBREAK CIR, SUITE A-150, #135, CLARKSVILLE, MD 21029-1642
(443) 535-0266
Mailing address
6030 DAYBREAK CIR, SUITE A-150, #135, CLARKSVILLE, MD 21029-1642
(443) 535-0266
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00030638
MD
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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