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Individual

KATHRYN MARIE SANDOVAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
769 E HARRISON ST, CHANDLER, AZ 85225-3908
(928) 699-4203
Mailing address
769 E HARRISON ST, CHANDLER, AZ 85225-3908
(928) 699-4203

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
Primary
174200000X
Meals Provider
175T00000X
Peer Specialist
225100000X
Physical Therapist
2251S0007X
Sports Physical Therapist
251B00000X
Case Management Agency
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
332U00000X
Home Delivered Meals
335G00000X
Medical Foods Supplier
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Enumeration date
07/24/2025
Last updated
07/24/2025
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