Provider Demographics
NPI:1528009446
Name:SANGER, VICKI A (PT)
Entity Type:Individual
Prefix:MS
First Name:VICKI
Middle Name:A
Last Name:SANGER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:VICKI
Other - Middle Name:L
Other - Last Name:SANGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:700 ALMA
Mailing Address - Street 2:STE 135
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075
Mailing Address - Country:US
Mailing Address - Phone:972-424-5840
Mailing Address - Fax:972-423-9427
Practice Address - Street 1:700 ALMA
Practice Address - Street 2:STE 135
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075
Practice Address - Country:US
Practice Address - Phone:972-424-5840
Practice Address - Fax:972-423-9427
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1014637225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80377TOtherBLUE CROSS
TX800T06Medicare ID - Type Unspecified