Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | ||
N | 2251S0007X | Physical Therapist - Sports |
NPI | 1497735278 |
---|---|
Provider Name | Dr. Todd Christopher Sander |
First Address | Fpo, AP 96362 |
Second Address | Fpo, AP 96362 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 08/07/2007 |