Individual
WYKEIA MONIQUE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
306 E NIZHONI BLVD, GALLUP, NM 87301-5794
(505) 863-9551
Mailing address
586 PENAL FARM RD, SIBLEY, LA 71073-3053
(318) 834-6222
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
214349
TX
224Z00000X
Occupational Therapy Assistant
Primary
4279
NM
Other
Enumeration date
09/04/2018
Last updated
07/02/2021
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