Provider Demographics
NPI:1558765149
Name:SANCHEZ, BABY LOUISE (PT)
Entity Type:Individual
Prefix:
First Name:BABY
Middle Name:LOUISE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 W 48TH ST
Mailing Address - Street 2:SUITE 705
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-1803
Mailing Address - Country:US
Mailing Address - Phone:212-388-5050
Mailing Address - Fax:
Practice Address - Street 1:22 W 48TH ST
Practice Address - Street 2:SUITE 705
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-1803
Practice Address - Country:US
Practice Address - Phone:212-388-5050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-10
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037306225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist