MRS. Ellison Renee Sanders, PT

NPI #1720276850 in Coeur D Alene, Idaho

Provider Information

NPI Number
1720276850
Entity Type
Individual
Name
MRS. Ellison Renee Sanders, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist - Pediatrics
Credential
PT
Enumeration Date
Oct 15, 2007
Last Updated
Jan 30, 2012

Practice Location

Address
411 W HAYCRAFT AVE
Address 2
STE B3
State
Idaho
ZIP Code
83815-8105
Phone
(208) 664-2468

Specialties & Taxonomy Codes

Specialty
Physical Therapist - PediatricsPediatrics

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