Provider Demographics
NPI:1376287995
Name:ABREU SANCHEZ, NATHALIE
Entity Type:Individual
Prefix:MISS
First Name:NATHALIE
Middle Name:
Last Name:ABREU SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:NATHALIE
Other - Middle Name:
Other - Last Name:ABREU SANCHEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COTA
Mailing Address - Street 1:1532 NW 119TH ST APT 205
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33167-3147
Mailing Address - Country:US
Mailing Address - Phone:786-803-4437
Mailing Address - Fax:
Practice Address - Street 1:1532 NW 119TH ST APT 205
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33167-3147
Practice Address - Country:US
Practice Address - Phone:786-803-4437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLA162620875470224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty