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:
Health care specialties
| Specialty | Code | License # | 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 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710955687 | NPPES |
| Florida | MEDICAID | 885209000 | |
| Florida | Other | Y905Q | |
| Florida | Other | 650009083 |
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