Provider Demographics
NPI:1316428923
Name:ALLISON, SANDRA JEAN (LPTA)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:JEAN
Last Name:ALLISON
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10800 FLORA MAE MEADOWS RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-5974
Mailing Address - Country:US
Mailing Address - Phone:832-328-2350
Mailing Address - Fax:
Practice Address - Street 1:10800 FLORA MAE MEADOWS RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-5974
Practice Address - Country:US
Practice Address - Phone:832-328-2350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2001350225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant