Provider Demographics
NPI:1245939024
Name:FERENAC, SONJIA JENNIFER (ATC, EMT-B, FF1)
Entity type:Individual
Prefix:
First Name:SONJIA
Middle Name:JENNIFER
Last Name:FERENAC
Suffix:
Gender:F
Credentials:ATC, EMT-B, FF1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4488 EVERETT HULL RD
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44410-9773
Mailing Address - Country:US
Mailing Address - Phone:330-240-9401
Mailing Address - Fax:
Practice Address - Street 1:8423 MARKET ST STE 207
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-6778
Practice Address - Country:US
Practice Address - Phone:330-965-5490
Practice Address - Fax:330-965-5491
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0048162255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer