Most Relevant Information
Provider Data
| NPI Number: | 1003426842 |
| Provider Name: | SANDRA ROLLES |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | TEI000357 |
Most Important Dates
| Enumeration Date: | 08/06/2020 |
| Last Updated: | 08/06/2020 |
Provider Practice Location
100 MOUNT ALLEN DR
MECHANICSBURG
PA
170556171
Practice Location Phone/Fax
| Phone: | 7176974666 |
| Fax: |
Provider Mailing Location
612 PINTAIL DR
ETTERS
PA
173198868
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |