Provider Demographics
NPI:1487157723
Name:SANCHEZ, MARIANNE THERESA
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:THERESA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARIANNE
Other - Middle Name:RILEY
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4985 SHADE CREEK XING
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30028-4128
Mailing Address - Country:US
Mailing Address - Phone:727-326-4851
Mailing Address - Fax:
Practice Address - Street 1:3735 KENNENT SQ
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-4485
Practice Address - Country:US
Practice Address - Phone:727-326-4851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-13
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist