Provider Demographics
NPI:1770502304
Name:SANCHEZ, NAYDA AMARIS (OT)
Entity Type:Individual
Prefix:MRS
First Name:NAYDA
Middle Name:AMARIS
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12774 EAGLESHAM DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-5616
Mailing Address - Country:US
Mailing Address - Phone:904-504-6381
Mailing Address - Fax:904-220-3095
Practice Address - Street 1:12774 EAGLESHAM DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-5616
Practice Address - Country:US
Practice Address - Phone:904-504-6381
Practice Address - Fax:904-220-3095
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT1650225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist