Most Relevant Information
Provider Data
| NPI Number: | 1003548504 |
| Provider Name: | SANDRA BARRERA MENDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 6004 |
Most Important Dates
| Enumeration Date: | 06/24/2022 |
| Last Updated: | 06/24/2022 |
Provider Practice Location
2760 W LINCOLN AVE # 25
ANAHEIM
CA
928016333
Practice Location Phone/Fax
| Phone: | 7047762472 |
| Fax: |
Provider Mailing Location
2760 W LINCOLN AVE # 25
ANAHEIM
CA
928016333
Provider Mailing Phone/Fax
| Phone: | 7047762472 |
| Fax: |