Provider Demographics
NPI:1457452286
Name:LONON, SANDRA KAY (COTAL)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:KAY
Last Name:LONON
Suffix:
Gender:F
Credentials:COTAL
Other - Prefix:MRS
Other - First Name:SANDY
Other - Middle Name:K
Other - Last Name:LONON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2201 S STERLING ST
Mailing Address - Street 2:BLUE RIDGE HEALTHCARE
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-4044
Mailing Address - Country:US
Mailing Address - Phone:828-580-6816
Mailing Address - Fax:828-879-7676
Practice Address - Street 1:112 RAINTREE DR
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-9293
Practice Address - Country:US
Practice Address - Phone:828-584-3668
Practice Address - Fax:828-350-0801
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand