Provider Demographics
NPI:1801949052
Name:LEFEVERS, SANDRA (PT)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:LEFEVERS
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 1:9219 GARLAND RD
Mailing Address - Street 2:SUITE 1105
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-3697
Mailing Address - Country:US
Mailing Address - Phone:214-324-5851
Mailing Address - Fax:214-324-5851
Practice Address - Street 1:9219 GARLAND RD
Practice Address - Street 2:SUITE 1105
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-3697
Practice Address - Country:US
Practice Address - Phone:214-324-5851
Practice Address - Fax:214-324-5851
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1041556225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist