Provider Demographics
NPI:1518159623
Name:SANDIFORD, NATALIE AMANDA (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:NATALIE
Middle Name:AMANDA
Last Name:SANDIFORD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 NESHAMINY BLVD
Mailing Address - Street 2:APT 430
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-1773
Mailing Address - Country:US
Mailing Address - Phone:267-968-1750
Mailing Address - Fax:
Practice Address - Street 1:2751 DEKALB PIKE
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401
Practice Address - Country:US
Practice Address - Phone:610-278-2700
Practice Address - Fax:610-275-3398
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009718225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist