Provider Demographics
NPI:1841889318
Name:PATRICIA SANDERS
Entity type:Organization
Organization Name:PATRICIA SANDERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, PT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:907-683-4240
Mailing Address - Street 1:PO BOX 222
Mailing Address - Street 2:
Mailing Address - City:DENALI NATIONAL PARK
Mailing Address - State:AK
Mailing Address - Zip Code:99755-0222
Mailing Address - Country:US
Mailing Address - Phone:907-683-4240
Mailing Address - Fax:907-683-4240
Practice Address - Street 1:15-B REVINE CREEK TRAIL
Practice Address - Street 2:
Practice Address - City:DENALI NATIONAL PARK
Practice Address - State:AK
Practice Address - Zip Code:99755-0222
Practice Address - Country:US
Practice Address - Phone:907-683-4240
Practice Address - Fax:907-683-4240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy