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NPI Code Detail

MEDICARE: SANDRA LIND SIPE PT

MEDICARE:   SANDRA LIND SIPE  PT
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 TherapistPT23918CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
123918OTHERCASTATE LICENSE

General Provider Information

NPI Number : 1942319751
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA LIND SIPE PT
Provider Business Mailing Address
First Line : 5720 RALSTON ST STE 200
Second Line :
City : VENTURA
State : CA
Zip : 93003-7844
Country : US
Telephone Number : 805-804-4168
Fax Number : 805-830-1177
Provider Business Practice Location Address
First Line : 2221 WANKEL WAY
Second Line :
City : OXNARD
State : CA
Zip : 93030-0192
Country : US
Telephone Number : 805-988-0448
Fax Number : 805-988-3070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 03/12/2022

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Directions to “ SANDRA LIND SIPE PT” Practice Location

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