Doctor Name: | SANDRA JO ALTMAN |
NPI Number: | 1417279266 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 05001494A |
Business Practice Address: | 5310 Merchandise Dr Fort Wayne, IN - 468255140 |
Business Phone Number: | 2604849491 |
Business Fax Number: | 2604849451 |
Mailing Address: | 2792 Jericho Road, HICKSVILLE |
State: | OH |
Postal Code: | 43526 |
Phone Number: | 4194871600 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2010 |
NPI Last Update Date: | 04/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05001494A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |