Provider Demographics
NPI:1780986927
Name:SANCHEZ, RODERICK (OT)
Entity type:Individual
Prefix:
First Name:RODERICK
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 SW 132ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-2721
Mailing Address - Country:US
Mailing Address - Phone:786-514-7578
Mailing Address - Fax:
Practice Address - Street 1:3801 SW 132ND AVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-2721
Practice Address - Country:US
Practice Address - Phone:786-514-7578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-19
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist