Provider Demographics
NPI:1457568479
Name:MACFARLANE, SANDRA JEAN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:JEAN
Last Name:MACFARLANE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1338 SUMMIT RD
Mailing Address - Street 2:
Mailing Address - City:REW
Mailing Address - State:PA
Mailing Address - Zip Code:16744-1106
Mailing Address - Country:US
Mailing Address - Phone:814-465-3192
Mailing Address - Fax:
Practice Address - Street 1:515 MAIN ST
Practice Address - Street 2:OLEAN GENERAL HOSPITAL
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760
Practice Address - Country:US
Practice Address - Phone:716-375-7481
Practice Address - Fax:716-375-6410
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008997-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist