Provider Demographics
NPI:1457306201
Name:TOMSIC, SANDRA JANE
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:JANE
Last Name:TOMSIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:463 LORRAINE BLVD
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-2213
Mailing Address - Country:US
Mailing Address - Phone:614-920-1737
Mailing Address - Fax:
Practice Address - Street 1:8889 BASIL WESTERN RD
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-9276
Practice Address - Country:US
Practice Address - Phone:614-920-2811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter