MEDICARE: MR. DAVID ANTHONY SANCHEZ DPT

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	2251X0800X	Orthopedic Physical Therapist	2133	NM
2	225100000X	Physical Therapist	PTH6677	AL

General Provider Information

NPI Number	:	1336133560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID ANTHONY SANCHEZ DPT

Provider Business Mailing Address
First Line	:	199 N BROOKMOORE DR
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39705-2024
Country	:	US
Telephone Number	:	662-327-6705
Fax Number	:	662-327-6760

Provider Business Practice Location Address
First Line	:	2703 LEGENDS PKWY
Second Line	:
City	:	PRATTVILLE
State	:	AL
Zip	:	36066-7755
Country	:	US
Telephone Number	:	334-380-4930
Fax Number	:	334-380-4931

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

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	03/17/2018

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