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Timothy D Sanders

Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

430 E Cleveland St, Delphos, OH 45833-1903

PECOS Enrollment

Based on the most recent information from CMS, provider Timothy D Sanders does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1225573660
Provider Type
Individual
Full Name
Sanders, Timothy D
Title
Mr.
Credential
OTR/L

Gender
Male
Sole Proprietor
No
Enumeration Date
12/20/2016
Last Updated
12/20/2016

Contact Information

Practice Location

430 E Cleveland St, Delphos, OH 45833-1903

(419) 516-3096

Unlisted Fax

Mailing Location

430 E Cleveland St, Delphos, OH 45833-1903

(419) 516-3096

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225X00000X Primary	Description Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License OT009558 Ohio
Code 225X00000X	Description Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 6516 Arizona

Provider Identifiers

ID	Description	Issuer
ID TC832398	Description Other	Issuer DRIVER'S LICENSE Ohio

Timothy D Sanders

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Kriegel, Braden

Wilson, Nicole

Warnecke, Janine Marie

Greathouse, Katie Jo

Hull, Patricia