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NPI Code Detail

MEDICARE: MR. SANDRA OLIVIA MARTIN-HATCH MPT, RD, CDN

MEDICARE: MR. SANDRA OLIVIA MARTIN-HATCH MPT, RD, CDN
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 TherapistJ1-0001604DE

General Provider Information

NPI Number : 1821128588
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SANDRA OLIVIA MARTIN-HATCH MPT, RD, CDN
Provider Business Mailing Address
First Line : 18 SPRINGFLOWER PL
Second Line :
City : MAGNOLIA
State : DE
Zip : 19962-2735
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 560 S GOVERNORS AVE
Second Line :
City : DOVER
State : DE
Zip : 19904-3523
Country : US
Telephone Number : 302-744-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/08/2007

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