Alfredo Sandoval

NPI #1104202324 in Jasper, Indiana

Provider Information

NPI Number: 1104202324
Entity Type: Individual
Name: Alfredo Sandoval
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 11, 2015
Last Updated: Aug 11, 2015

Practice Location

Address: 1307 W TODD LN
City: Jasper
State: Indiana
ZIP Code: 47546-9696
Phone: (812) 259-9716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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