Provider Demographics
NPI:1407297054
Name:OROZCO-ANDERSON, SANDRA MICHELLE (RTC, MPT)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:MICHELLE
Last Name:OROZCO-ANDERSON
Suffix:
Gender:F
Credentials:RTC, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1176 E LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2223
Mailing Address - Country:US
Mailing Address - Phone:559-439-3207
Mailing Address - Fax:
Practice Address - Street 1:109 E CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93638-3109
Practice Address - Country:US
Practice Address - Phone:559-674-8670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22440225100000X
CA2919-T225800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist