Provider Demographics
NPI:1255549515
Name:SIOW, SANDRA MIN
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:MIN
Last Name:SIOW
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:SANDRA
Other - Middle Name:MIN
Other - Last Name:SIOW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR
Mailing Address - Street 1:249 E OCEAN BLVD #400
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802
Mailing Address - Country:US
Mailing Address - Phone:888-808-7838
Mailing Address - Fax:866-620-3943
Practice Address - Street 1:249 E OCEAN BLVD #400
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802
Practice Address - Country:US
Practice Address - Phone:888-808-7838
Practice Address - Fax:866-620-3943
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT9996225XP0200X
WAOT00003998225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation