Rayburn, Sandra

Rayburn, Sandra is an individual health care provider with primary practice located at 17706 I-30 Ste. 3, Benton AR 72019-2907. 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. Rayburn, Sandra can be contacted via phone (501) 315-4414.

Contact Information

Primary practice address
17706 I-30 Ste. 3 Benton AR 72019-2907
Fax: (501) 315-0075
Website:

Health care specialties

Profile Details

NPI number 1376751289
LBN Legal business name Rayburn, Sandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jan 16th, 2013 - about 12 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 1376751289 NPPES
Arkansas MEDICAID 116192721
Arkansas Other 56237

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