Healthcare Provider Details

I. General information

NPI: 1114137825
Provider Name (Legal Business Name): SANDS GROUP , INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 04/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 NORTH MAIN STREET
FRANKFORT IN
46041
US

IV. Provider business mailing address

1555 NORTH MAIN STREET
FRANKFORT IN
46041
US

V. Phone/Fax

Practice location:
  • Phone: 765-654-0871
  • Fax: 765-654-9746
Mailing address:
  • Phone: 765-654-0871
  • Fax: 765-654-9746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. JULIE G MACLEAN
Title or Position: ADMINISTRATOR PHYSICAL THERAPIST
Credential: PT
Phone: 765-654-0871