Individual
BRENDA FONSECA SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5701 PROMONTORY PKWY, TRACY, CA 95377-9201
(209) 430-9915
Mailing address
72 W 7TH ST, STOCKTON, CA 95206-2609
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25672
CA
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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