Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 877 | CA |
NPI | 1275738254 |
---|---|
Provider Name | Mrs. Sandra Kay Hartman |
First Address | Cardiff, CA 92007-1121 |
Second Address | San Marcos, CA 92078-4201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2007 |
Last Update Date | 15/12/2021 |