Provider Demographics
NPI:1235181827
Name:SANCHEZ, KATHERINE M (OTR L)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:M
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 S CENTER ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-4111
Mailing Address - Country:US
Mailing Address - Phone:714-430-6206
Mailing Address - Fax:
Practice Address - Street 1:1635 S CENTER ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-4111
Practice Address - Country:US
Practice Address - Phone:714-430-6206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT5831225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist