Provider Demographics
NPI:1770854465
Name:SANCHEZ, LUZ S (OTA)
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:S
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2331 99TH ST
Mailing Address - Street 2:2 FL
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11369-1316
Mailing Address - Country:US
Mailing Address - Phone:917-683-2855
Mailing Address - Fax:
Practice Address - Street 1:2331 99TH ST
Practice Address - Street 2:2 FL
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11369-1316
Practice Address - Country:US
Practice Address - Phone:917-683-2855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005697-1224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant