Provider Demographics
NPI:1003087602
Name:MEHRER, SANDRA L (LPT)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:L
Last Name:MEHRER
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3909 SUMMER BROOK DR
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27539-5704
Mailing Address - Country:US
Mailing Address - Phone:919-372-9073
Mailing Address - Fax:
Practice Address - Street 1:638 GEORGE WILSON RD
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-8613
Practice Address - Country:US
Practice Address - Phone:828-265-0309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-22
Last Update Date:2008-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4297225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist