MEDICARE: ABBY RAE SANCHEZ 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
1	225X00000X	Occupational Therapist	5796	WI

General Provider Information

NPI Number	:	1952775033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBY RAE SANCHEZ OTR/L

Provider Business Mailing Address
First Line	:	7205 N 97TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53224-3901
Country	:	US
Telephone Number	:	414-791-1935
Fax Number	:

Provider Business Practice Location Address
First Line	:	7205 N 97TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53224-3901
Country	:	US
Telephone Number	:	414-791-1935
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2015
Last Update Date	:	11/30/2015

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