Provider Demographics
NPI:1295112308
Name:SANDERS, ISABEL (LPTA)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:SANDERS
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 ROVERT K. WILSON DR
Mailing Address - Street 2:PICKENS COUNTY MEDICAL CENTER
Mailing Address - City:CARROLLTON,
Mailing Address - State:AL
Mailing Address - Zip Code:35447
Mailing Address - Country:US
Mailing Address - Phone:205-367-2468
Mailing Address - Fax:
Practice Address - Street 1:241 ROBERT K WILSON DR
Practice Address - Street 2:PICKENS COUNTY MEDICAL CENTER
Practice Address - City:CARROLLTON
Practice Address - State:AL
Practice Address - Zip Code:35447
Practice Address - Country:US
Practice Address - Phone:205-367-2468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTA176261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy