Provider Demographics
NPI:1710123260
Name:SANDERS, DEBRA ANN
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:ANN
Last Name:SANDERS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:DEBRA
Other - Middle Name:ANN
Other - Last Name:SANDERS-WALKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7249 HANOVER PKWY
Mailing Address - Street 2:SUITE D
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3608
Mailing Address - Country:US
Mailing Address - Phone:301-345-3255
Mailing Address - Fax:301-390-1029
Practice Address - Street 1:7249 HANOVER PKWY
Practice Address - Street 2:SUITE D
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3608
Practice Address - Country:US
Practice Address - Phone:301-345-3255
Practice Address - Fax:301-390-1029
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD743631744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management