Individual
CARLY NOELLE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
200 E DEL MAR BLVD, SUITE 112, PASADENA, CA 91105-2544
(626) 564-2700
(626) 564-2770
Mailing address
200 E DEL MAR BLVD, SUITE 112, PASADENA, CA 91105-2544
(626) 564-2700
(626) 564-2770
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT16272
CA
225XP0200X
Pediatric Occupational Therapist
Primary
OT16272
CA
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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