| Mrs Sandra Marie Pettiford, P T | |
|
1005 State St, East Saint Louis, IL 62201-1907 | |
| (618) 646-3960 | |
| (618) 646-3968 |
| Full Name | Mrs Sandra Marie Pettiford |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1005 State St, East Saint Louis, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710192703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05000547A (Indiana) | Secondary |
| 225100000X | Physical Therapist | R0055 (Missouri) | Secondary |
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sandra Marie Pettiford, P T 720 Glen Mor, Belleville, IL 62221-3482 Ph: () - | Mrs Sandra Marie Pettiford, P T 1005 State St, East Saint Louis, IL 62201-1907 Ph: (618) 646-3960 |
Tonya Aczinowicz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 129 N 8th St, East Saint Louis, IL 62201 Phone: 618-482-7166 Fax: 618-482-7166 | |
Julia Horn, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3354 Jerome Ln, East Saint Louis, IL 62206 Phone: 618-337-9400 | |
Jean Lammers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 129 N 8th St, East Saint Louis, IL 62201 Phone: 618-482-7166 Fax: 618-482-7161 |