Individual
ASHLEY ALINE SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5576 W SAMPLE RD, MARGATE, FL 33073-3423
(954) 974-2977
Mailing address
773 CRESCENT WAY, WESTON, FL 33326-3357
(954) 600-0390
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10766
FL
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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