Provider Demographics
NPI:1952991119
Name:ROMERO-SANCHEZ, CAITLIN ROSE (DAT, ATC)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:ROSE
Last Name:ROMERO-SANCHEZ
Suffix:
Gender:F
Credentials:DAT, ATC
Other - Prefix:DR
Other - First Name:CAITLIN
Other - Middle Name:ROSE
Other - Last Name:RUTHERFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DAT, ATC
Mailing Address - Street 1:8110 SHIRLEY AVE
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-1028
Mailing Address - Country:US
Mailing Address - Phone:760-992-6801
Mailing Address - Fax:
Practice Address - Street 1:8110 SHIRLEY AVE
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-1028
Practice Address - Country:US
Practice Address - Phone:760-992-6801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer