NPI 1235479403

Jericka Sanders, PTA

Practitioner Physical Therapy Assistant Crystal River, FL

Practice location

Address: 10105 W Ohio Dr, Crystal River, FL 34428
Phone: (352) 613-4149
Mailing address: 10105 W Ohio Dr, Crystal River, FL 34428-9680

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA 23916 (FL)

Other Physical Therapy Assistant providers in Florida →

Registry record

NPI: 1235479403
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Feb 2013
Record last updated: 25 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.