Provider Demographics
NPI:1598071920
Name:SANCHEZ, MIREIDA (COTA/L)
Entity Type:Individual
Prefix:MS
First Name:MIREIDA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6347 VIA DE SONRISA DEL SUR
Mailing Address - Street 2:ASSISTED LIVING FACILITY #AL8172
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-8206
Mailing Address - Country:US
Mailing Address - Phone:561-391-7700
Mailing Address - Fax:561-391-7700
Practice Address - Street 1:6347 VIA DE SONRISA DEL SUR
Practice Address - Street 2:ASSISTED LIVING FACILITY #AL8172
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-8206
Practice Address - Country:US
Practice Address - Phone:561-391-7700
Practice Address - Fax:561-391-7700
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10660224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant