ALFREDO SANDOVAL

JASPER, IN
NPI1104202324
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06005003A)
Enumeration Date2015-08-11
Last Update Date2015-08-11
Business Address
-- ALFREDO SANDOVAL
1307 W TODD LN
JASPER, IN 47546-9696
Phone number: 812-259-9716
Mailing Address
-- ALFREDO SANDOVAL
1307 W TODD LN
JASPER, IN 47546-9696
Phone number:
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