Individual
MARIO SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
12 VERMEER DR APT 6, SOUTH AMBOY, NJ 08879-2347
(201) 870-8477
Mailing address
12 VERMEER DR APT 6, SOUTH AMBOY, NJ 08879-2347
(201) 870-8477
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09110100
NJ
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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