Individual
MRS. BRIDGET RENEE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A0681
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-0681
PHYSICAL THERAPIST ASSISTANT
NM
Enumeration date
05/03/2012
Last updated
05/03/2012
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