Individual
MRS. CHARLENE ELIZABETH SANDORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 363-2111
Mailing address
23211 SWITZER RD, BROOK PARK, OH 44142-1064
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-00713
OH
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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