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Individual

AMY BASCO SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1008 CITIZENS TRL, TEXARKANA, TX 75501-5922
(903) 838-9526
Mailing address
8299 SOPHIE LN, GREENWOOD, LA 71033-3405
(318) 422-3463

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2142218
TX

Other

Enumeration date
01/30/2019
Last updated
01/30/2019
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