Provider Demographics
NPI:1851617682
Name:SONCRANT, DONNA RENEE (PT)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:RENEE
Last Name:SONCRANT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 LANDERHAVEN DR
Mailing Address - Street 2:BUILDING A-1
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4190
Mailing Address - Country:US
Mailing Address - Phone:440-449-3400
Mailing Address - Fax:440-449-3402
Practice Address - Street 1:6001 LANDERHAVEN DR
Practice Address - Street 2:BUILDING A-1
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-4190
Practice Address - Country:US
Practice Address - Phone:440-449-3400
Practice Address - Fax:440-449-3402
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH007215225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4293141Medicare PIN