Provider Demographics
NPI:1770724502
Name:FRANCIS, SANDY L (PT)
Entity type:Individual
Prefix:MRS
First Name:SANDY
Middle Name:L
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:SANDY
Other - Middle Name:L
Other - Last Name:FRANCIS-BUTTS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:140 DARROW PL
Mailing Address - Street 2:24E
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-1802
Mailing Address - Country:US
Mailing Address - Phone:646-784-5636
Mailing Address - Fax:570-223-0821
Practice Address - Street 1:140 DARROW PL
Practice Address - Street 2:24E
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-1802
Practice Address - Country:US
Practice Address - Phone:646-784-5636
Practice Address - Fax:570-223-0821
Is Sole Proprietor?:No
Enumeration Date:2009-03-06
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021351225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist