Provider Demographics
NPI:1124881933
Name:ALBRIGHT, SANDY BETH (COTAL/L)
Entity type:Individual
Prefix:MS
First Name:SANDY
Middle Name:BETH
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:COTAL/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 LINCOLN HALL RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:PA
Mailing Address - Zip Code:15037-2355
Mailing Address - Country:US
Mailing Address - Phone:141-276-5905
Mailing Address - Fax:
Practice Address - Street 1:315 LINCOLN HALL RD
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:PA
Practice Address - Zip Code:15037-2355
Practice Address - Country:US
Practice Address - Phone:141-276-5905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP007730224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant