Individual
SABRINA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7400 RED BUG LAKE RD, OVIEDO, FL 32765-7154
(407) 971-2774
(407) 971-2776
Mailing address
1200 LEXINGTON GREEN LN, SANFORD, FL 32771-1013
(407) 688-0070
(407) 688-0071
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13740
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
686675
MEDICARE
—
Enumeration date
07/05/2014
Last updated
07/05/2014
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