Provider Demographics
NPI:1578509915
Name:DORION, SANDRA K (PT)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:K
Last Name:DORION
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 PALMETTO PKWY
Mailing Address - Street 2:SUITE F
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2433
Mailing Address - Country:US
Mailing Address - Phone:843-681-5900
Mailing Address - Fax:843-681-5901
Practice Address - Street 1:20 PALMETTO PKWY
Practice Address - Street 2:SUITE F
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-2433
Practice Address - Country:US
Practice Address - Phone:843-681-5900
Practice Address - Fax:843-681-5901
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5040225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQ340258686Medicare PIN