Provider Demographics
NPI:1740718279
Name:SANCHEZ, PHILIP BRENDON ALQUIZA (AUD)
Entity type:Individual
Prefix:
First Name:PHILIP BRENDON
Middle Name:ALQUIZA
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6225
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05702-6225
Mailing Address - Country:US
Mailing Address - Phone:561-386-7099
Mailing Address - Fax:
Practice Address - Street 1:69 ALLEN ST STE 3
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4564
Practice Address - Country:US
Practice Address - Phone:802-775-3314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-29
Last Update Date:2019-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist