Provider Demographics
NPI:1801656533
Name:SANCHEZ, ROSE MARIE (COTA/L)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:MARIE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:887 GAZEBO CIR APT 6205
Mailing Address - Street 2:
Mailing Address - City:WEST MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-5239
Mailing Address - Country:US
Mailing Address - Phone:321-261-7669
Mailing Address - Fax:
Practice Address - Street 1:887 GAZEBO CIR APT 6205
Practice Address - Street 2:
Practice Address - City:WEST MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-5239
Practice Address - Country:US
Practice Address - Phone:321-261-7669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19493224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant