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NPI 1912289422

NPI 1912289422 : TONIA SANFORD OT : MUNSTER, IN

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General NPI Number Information
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    NPI Number           |    1912289422
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    Entity Type          |    Individual 
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    Provider Name        |    TONIA SANFORD OT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/12/2011
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    Last Update Date     |    12/16/2025
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Provider Practice Location Address
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    Address Line         |    1946 45TH ST STE A 
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    City                 |    MUNSTER
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    State                |    IN
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    Zip                  |    46321-3956
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    Country              |    US
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    Telephone            |    219-332-0033
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    Fax                  |    317-520-8200
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Provider Business Mailing Address
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    Address Line         |    6543 HOHMAN AVE 
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    City                 |    HAMMOND
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    State                |    IN
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    Zip                  |    46324-1021
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    Country              |    US
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    Telephone            |    309-750-9599
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    056007395
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    31008851A
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    License Number State |    IN
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