Sharon Diane Sanderson, O.T.

Individual provider Active NPI Occupational Therapist · Van Alstyne, TX

NPI 1154626224 · NPPES record last updated Jan 20, 2011

Key facts

NPI
1154626224
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
107302 (TX)
Practice address
249 E. Umphress
Van Alstyne, TX 75495-0758
Phone
(903) 482-6822
NPI assigned
Jan 20, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
107302TXMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 107302 TX Yes

Addresses

Primary practice location

249 E. Umphress
Van Alstyne, TX 75495-0758

Mailing address

249 E. Umphress
P.O. Box 758
Van Alstyne, TX 75495-0758
Phone (903) 482-6822

Other providers in Van Alstyne, TX

All providers in Van Alstyne, TX · Occupational Therapist in Texas

Sources for this page

Verify at the official NPI Registry.