Provider Demographics
NPI:1306216510
Name:SARANGDHAR, SONIA (OTR/L)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:SARANGDHAR
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 1:16405 CORNUTA AVE APT 31
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-8655
Mailing Address - Country:US
Mailing Address - Phone:503-702-9212
Mailing Address - Fax:
Practice Address - Street 1:16405 CORNUTA AVE APT 31
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-8655
Practice Address - Country:US
Practice Address - Phone:503-702-9212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13251225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist