Provider Demographics
NPI:1336559376
Name:AUBERGER, SANDI JEAN (PT)
Entity Type:Individual
Prefix:MRS
First Name:SANDI
Middle Name:JEAN
Last Name:AUBERGER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:SANDI
Other - Middle Name:JEAN
Other - Last Name:SELNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1149 STONE DR
Mailing Address - Street 2:STE.500
Mailing Address - City:HARRISON
Mailing Address - State:OH
Mailing Address - Zip Code:45030-2763
Mailing Address - Country:US
Mailing Address - Phone:513-367-9299
Mailing Address - Fax:513-367-1704
Practice Address - Street 1:1149 STONE DR
Practice Address - Street 2:STE.500
Practice Address - City:HARRISON
Practice Address - State:OH
Practice Address - Zip Code:45030-2763
Practice Address - Country:US
Practice Address - Phone:513-367-9299
Practice Address - Fax:513-367-1704
Is Sole Proprietor?:No
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT4675225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist