Provider Demographics
NPI:1720330814
Name:WINDSOR, SASHA ANNE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SASHA
Middle Name:ANNE
Last Name:WINDSOR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:SASHA
Other - Middle Name:ANNE
Other - Last Name:VALDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:300 N GREEN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3325
Mailing Address - Country:US
Mailing Address - Phone:828-430-3558
Mailing Address - Fax:828-430-3522
Practice Address - Street 1:300 N GREEN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3325
Practice Address - Country:US
Practice Address - Phone:828-430-3558
Practice Address - Fax:828-430-3522
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-12
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8489225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist