Individual
SHAWNA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A6018
NC
225200000X
Physical Therapy Assistant
Primary
A6018
VA
Other
Enumeration date
08/28/2016
Last updated
06/11/2024
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