Healthcare Provider Details

I. General information

NPI: 1497735278
Provider Name (Legal Business Name): TODD CHRISTOPHER SANDER PT, PHD, SCS, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 482, BOX 3059
FPO AP
96362
JP

IV. Provider business mailing address

PSC 482, BOX 3059
FPO AP
96362
JP

V. Phone/Fax

Practice location:
  • Phone: 011816117456991
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: