Individual
SANDRA SAGRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
976 KIELY BLVD UNIT D, SANTA CLARA, CA 95051-5042
(408) 423-8816
Mailing address
976 KIELY BLVD UNIT D, SANTA CLARA, CA 95051-5042
(408) 423-8816
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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