Sandra Cummings

NPI #1154782365 in Idaho Falls, Idaho

Provider Information

NPI Number: 1154782365
Entity Type: Individual
Name: Sandra Cummings
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Mar 15, 2016
Last Updated: Mar 15, 2016

Practice Location

Address: 150 SHOUP AVE
Address 2: SUITE 19
City: Idaho Falls
State: Idaho
ZIP Code: 83402-3657
Phone: (208) 528-4070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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