Provider Demographics
NPI:1821360751
Name:SAMBRANO, CYNTHIA L (MT-BC, NMT)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:L
Last Name:SAMBRANO
Suffix:
Gender:F
Credentials:MT-BC, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 N BEELINE HWY
Mailing Address - Street 2:#103
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85541-4907
Mailing Address - Country:US
Mailing Address - Phone:928-478-8680
Mailing Address - Fax:928-492-1001
Practice Address - Street 1:1000 N BEELINE HWY
Practice Address - Street 2:#103
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-4907
Practice Address - Country:US
Practice Address - Phone:928-478-8680
Practice Address - Fax:928-492-1001
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist