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Individual

JOHN GREG SANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPTA

Contact information

Practice address
500 SAINT CLAIR AVE SW, HUNTSVILLE, AL 35801-5021
(256) 539-5111
Mailing address
500 SAINT CLAIR AVE SW, HUNTSVILLE, AL 35801-5021
(256) 539-5111

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1402
AL

Other

Enumeration date
06/08/2011
Last updated
06/08/2011
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