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NPI Code Detail

MEDICARE: SANDRA MARIA LONSDALE-CAMPO MS OTR/L

MEDICARE:   SANDRA MARIA LONSDALE-CAMPO  MS OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist18272CA

General Provider Information

NPI Number : 1689507410
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA MARIA LONSDALE-CAMPO MS OTR/L
Provider Business Mailing Address
First Line : 14063 FENTON LN
Second Line :
City : SYLMAR
State : CA
Zip : 91342-1656
Country : US
Telephone Number : 818-396-3600
Fax Number :
Provider Business Practice Location Address
First Line : 515 E ASHTABULA ST
Second Line :
City : PASADENA
State : CA
Zip : 91104-4399
Country : US
Telephone Number : 626-396-5780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ SANDRA MARIA LONSDALE-CAMPO MS OTR/L” Practice Location

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