Healthcare Provider Details

I. General information

NPI: 1013242924
Provider Name (Legal Business Name): NATALIE CATHERINE SANDERS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2009
Last Update Date: 08/30/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 GARDEN RD STE 200C
MONTEREY CA
93940-5373
US

IV. Provider business mailing address

1900 GARDEN RD STE 200
MONTEREY CA
93940-5334
US

V. Phone/Fax

Practice location:
  • Phone: 831-250-6770
  • Fax: 831-250-6767
Mailing address:
  • Phone: 831-250-6770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number2109
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: