Doctor Name: | AMANDA SANCHEZ |
NPI Number: | 1336587005 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 40119 |
Business Practice Address: | 2711 E Coast Hwy 206 Corona Del Mar, CA - 926252104 |
Business Phone Number: | 9496752922 |
Business Fax Number: | 9496752992 |
Mailing Address: | 2711 E Coast Hwy, 206 CORONA DEL MAR |
State: | CA |
Postal Code: | 926252104 |
Phone Number: | 9496752922 |
Fax Number: | 9496752992 |
NPI Enumeration Date: | 06/04/2013 |
NPI Last Update Date: | 06/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 40119 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |