Provider Demographics
NPI:1497876692
Name:NEUMANN, SANDRA (OT)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1168 MAPLECREST CIR
Mailing Address - Street 2:
Mailing Address - City:GLADWYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19035-1338
Mailing Address - Country:US
Mailing Address - Phone:610-896-4640
Mailing Address - Fax:
Practice Address - Street 1:1168 MAPLECREST CIR
Practice Address - Street 2:
Practice Address - City:GLADWYNE
Practice Address - State:PA
Practice Address - Zip Code:19035-1338
Practice Address - Country:US
Practice Address - Phone:610-896-4640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC000394L171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor