| NPI | 1013900729 |
|---|---|
| Doing Business As | SONNY SANDERS, C.PED |
| Entity Type | Organization |
| Authorized Contact | SONNY SANDERS President/Certiied Pedorthist 423-892-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NO STATE LICENSURE) |
| Enumeration Date | 2005-08-27 |
| Last Update Date | 2020-08-22 |