Individual
MRS. MIA LYNN SANDATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1111 SUPERIOR AVE E STE 1800, CLEVELAND, OH 44114-2500
(216) 883-0000
Mailing address
4201 BIDDULPH AVE, CLEVELAND, OH 44109-5018
(216) 903-8433
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10091
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280845
—
OH
Enumeration date
04/18/2018
Last updated
01/15/2020
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