Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1200X | Ergonomics | 1015799 | PA |
Y | 225XE1200X | Ergonomics | 1015799 | PA |
NPI | 1891763173 |
---|---|
Provider Name | Mr. Brett Burr Sanders |
First Address | Downingtown, PA 19335-1893 |
Second Address | Downingtown, PA 19335-1893 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 08/07/2007 |