Healthcare Provider Details

I. General information

NPI: 1851304711
Provider Name (Legal Business Name): HOLLY JEAN SANDERS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 N EASTON RD SUITE 105
DOYLESTOWN PA
18901-1044
US

IV. Provider business mailing address

4181 LANDISVILLE RD
DOYLESTOWN PA
18901-1131
US

V. Phone/Fax

Practice location:
  • Phone: 215-340-2322
  • Fax: 215-340-9915
Mailing address:
  • Phone: 215-348-3489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT016308
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: