Individual
CHARLES ODELL SANDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
914 INDUSTRIAL PARK RD, DANDRIDGE, TN 37725-4700
(865) 397-3163
Mailing address
1247 FATE RANKIN RD, JEFFERSON CITY, TN 37760-3942
(865) 282-6629
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7263
TN
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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