Klassen, Sandra Lee

Klassen, Sandra Lee is an sole proprietor health care provider with primary practice located at 26201 S Tamiami Trl , Bonita Springs FL 34134. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Klassen, Sandra Lee can be contacted via phone (239) 498-0558.

Contact Information

Primary practice address
26201 S Tamiami Trl Bonita Springs FL 34134
Phone: (239) 498-0558
Fax: (239) 498-0557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT7404 Florida

Profile Details

NPI number 1710955687
LBN Legal business name Klassen, Sandra Lee
Credentials MS PT AT C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Oct 28th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710955687 NPPES
Florida MEDICAID 885209000
Florida Other Y905Q
Florida Other 650009083

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