Individual
MRS. SANDRA BURNLEY SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5 OTIS CT, NEW FREEDOM, PA 17349-9755
(757) 291-4589
Mailing address
5 OTIS CT, NEW FREEDOM, PA 17349-9755
(757) 291-4589
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4930
MD
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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