Provider Demographics
NPI:1467519512
Name:SONDROL, CATHERINE EVELYN (MOTRL)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:EVELYN
Last Name:SONDROL
Suffix:
Gender:F
Credentials:MOTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3588 TARPON DR
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86406-4223
Mailing Address - Country:US
Mailing Address - Phone:928-298-6036
Mailing Address - Fax:
Practice Address - Street 1:3588 TARPON DR
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86406-4223
Practice Address - Country:US
Practice Address - Phone:928-298-6036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3272225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist