Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT33322 | CA |
NPI | 1043377328 |
---|---|
Provider Name | Allison E Sandquist |
First Address | Visalia, CA 93277-8316 |
Second Address | Kingsburg, CA 93631-1706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 21/03/2018 |