Provider Demographics
NPI:1376856468
Name:OSSIO, SANDRA PAMELA (OTR/L)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:PAMELA
Last Name:OSSIO
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 1:4555 INTERLACHEN CT UNIT I
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-3200
Mailing Address - Country:US
Mailing Address - Phone:804-319-0729
Mailing Address - Fax:
Practice Address - Street 1:4555 INTERLACHEN CT UNIT I
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-3200
Practice Address - Country:US
Practice Address - Phone:804-319-0729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-19
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119005153225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist