Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 1240382 | TX |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 111110 | TX |
NPI | 1952507402 |
---|---|
Provider Name | Laura Sander |
First Address | El Paso, TX 79902-2843 |
Second Address | El Paso, TX 79935-3020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2007 |
Last Update Date | 24/02/2014 |