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NPI Code Detail

MEDICARE: SANDRA INMON PT, DPT

MEDICARE: SANDRA INMON PT, 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
1225100000XPhysical TherapistPT5700AR

General Provider Information

NPI Number : 1477189090
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA INMON PT, DPT
Provider Business Mailing Address
First Line : 2001 CLUB MANOR DR STE G
Second Line :
City : MAUMELLE
State : AR
Zip : 72113-7417
Country : US
Telephone Number : 866-251-1227
Fax Number :
Provider Business Practice Location Address
First Line : 1401 LABELLE DR
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72204-2315
Country : US
Telephone Number : 501-444-2390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2020
Last Update Date : 05/23/2026

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Directions to “ SANDRA INMON PT, DPT” Practice Location

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