Provider Demographics
NPI:1952778219
Name:GILCHRIST, SANDRA V (PT)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:V
Last Name:GILCHRIST
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 1:595 W SESAME DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7962
Mailing Address - Country:US
Mailing Address - Phone:956-428-5440
Mailing Address - Fax:946-428-3375
Practice Address - Street 1:1300 WILDROSE LN
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8600
Practice Address - Country:US
Practice Address - Phone:956-542-2845
Practice Address - Fax:956-548-9019
Is Sole Proprietor?:No
Enumeration Date:2015-08-21
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1104594225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist