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NPI Code Detail

MEDICARE: DONNA RENEE SONCRANT PT

MEDICARE:   DONNA RENEE SONCRANT  PT
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
1225100000XPhysical Therapist007215OH

General Provider Information

NPI Number : 1851617682
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA RENEE SONCRANT PT
Provider Business Mailing Address
First Line : 6001 LANDERHAVEN DR
Second Line : BUILDING A-1
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-4190
Country : US
Telephone Number : 440-449-3400
Fax Number : 440-449-3402
Provider Business Practice Location Address
First Line : 6001 LANDERHAVEN DR
Second Line : BUILDING A-1
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-4190
Country : US
Telephone Number : 440-449-3400
Fax Number : 440-449-3402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2010
Last Update Date : 11/16/2010

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Directions to “ DONNA RENEE SONCRANT PT” Practice Location

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