Sandry, Willie Guy

Sandry, Willie Guy is an individual health care provider with primary practice located at 414 Ne 3Rd Ave , Camas WA 98607-2154. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Sandry, Willie Guy can be contacted via phone (360) 834-7760.

Contact Information

Primary practice address
414 Ne 3Rd Ave Camas WA 98607-2154
Phone: (360) 834-7760
Fax: (503) 557-4871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00008543 Washington

Profile Details

NPI number 1396962437
LBN Legal business name Sandry, Willie Guy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jul 8th, 2007 - about 19 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 1396962437 NPPES
Washington MEDICAID 7111628

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