Doctor Name: | ELIZABETH ANNE SANDERS |
NPI Number: | 1447511589 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR |
License Number: | 48-2600 |
Business Practice Address: | 2448 S 102nd St Suite 340 Milwaukee, WI - 532272466 |
Business Phone Number: | 4143292500 |
Business Fax Number: | 4143292501 |
Mailing Address: | 3483 N Pierce St, MILWAUKEE |
State: | WI |
Postal Code: | 532121626 |
Phone Number: | 4146281099 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2012 |
NPI Last Update Date: | 06/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 48-2600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |