Provider Demographics
NPI:1437604030
Name:SANCHEZ, ANAY (COTA)
Entity Type:Individual
Prefix:
First Name:ANAY
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8249 NW 36TH ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6673
Mailing Address - Country:US
Mailing Address - Phone:305-418-2385
Mailing Address - Fax:305-418-1888
Practice Address - Street 1:8249 NW 36TH ST
Practice Address - Street 2:SUITE 109
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6673
Practice Address - Country:US
Practice Address - Phone:305-418-2385
Practice Address - Fax:305-418-1888
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA14123224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant