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Individual

MR. BRETT EDWARD SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
429 MANOR DR, EBENSBURG, PA 15931-4917
(814) 471-2109
(814) 471-6902
Mailing address
511 E GRANT AVE, ALTOONA, PA 16602-5319
(814) 941-0441

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014132L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SA1301234
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/08/2006
Last updated
07/08/2007
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