MEDICARE: MRS. SANDRA R SAUNDERS M.S. P.T. C.H.T

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251H1200X	Hand Physical Therapist	9209001478	VA
2	225100000X	Physical Therapist	2305001637	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00810128	OTHER	VA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174583520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SANDRA R SAUNDERS M.S. P.T. C.H.T

Provider Business Mailing Address
First Line	:	1115 BOULDERS PKWY
Second Line	:	SUITE 200
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23225-4067
Country	:	US
Telephone Number	:	804-560-5595
Fax Number	:	804-560-9029

Provider Business Practice Location Address
First Line	:	1400 JOHNSTON WILLIS DR
Second Line	:	STE B
City	:	RICHMOND
State	:	VA
Zip	:	23235-4765
Country	:	US
Telephone Number	:	804-379-3840
Fax Number	:	804-379-9567

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	09/16/2020

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