Individual
MS. SANDRA A MANDILAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
113096
TX
225XP0200X
Pediatric Occupational Therapist
Primary
113096
TX
Other
Enumeration date
02/11/2008
Last updated
07/06/2010
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