Individual
CARL ANDREW SANDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
2265 MARKET ST, SUITE A, WARREN, PA 16365-4625
(814) 726-9050
(814) 726-9629
Mailing address
2265 MARKET ST STE A, WARREN, PA 16365-4682
(814) 726-9050
(814) 726-9629
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
DAPT000113
PA
225100000X
Physical Therapist
Primary
PT007634L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028776920001
—
PA
Enumeration date
12/20/2005
Last updated
06/20/2024
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