Provider Demographics
NPI:1174583520
Name:SAUNDERS, SANDRA R (MS PT CHT)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:R
Last Name:SAUNDERS
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Gender:F
Credentials:MS PT CHT
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Mailing Address - Street 1:1115 BOULDERS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4067
Mailing Address - Country:US
Mailing Address - Phone:804-560-5595
Mailing Address - Fax:804-560-9029
Practice Address - Street 1:1400 JOHNSTON WILLIS DR
Practice Address - Street 2:STE B
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-4765
Practice Address - Country:US
Practice Address - Phone:804-379-3840
Practice Address - Fax:804-379-9567
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2020-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA92090014782251H1200X
VA2305001637225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00810128OtherRR MEDICARE
VA1174583520Medicaid
VAC09287Medicare ID - Type Unspecified
VAMC10588Medicare PIN
VA0472640003Medicare NSC
VA0472640006Medicare NSC