Provider Demographics
NPI:1891099263
Name:FORADORA, SONYA B (LMT)
Entity Type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:B
Last Name:FORADORA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8475 MEMPHIS AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BROOKLYN
Mailing Address - State:OH
Mailing Address - Zip Code:44144-2135
Mailing Address - Country:US
Mailing Address - Phone:216-351-7311
Mailing Address - Fax:216-351-7311
Practice Address - Street 1:8475 MEMPHIS AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BROOKLYN
Practice Address - State:OH
Practice Address - Zip Code:44144-2135
Practice Address - Country:US
Practice Address - Phone:216-351-7311
Practice Address - Fax:216-351-7311
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.004754225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist