Provider Demographics
NPI:1841019296
Name:OKON, SANDRA A
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:A
Last Name:OKON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9225 LINCOLN DR APT F10
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44067-1155
Mailing Address - Country:US
Mailing Address - Phone:216-466-3675
Mailing Address - Fax:
Practice Address - Street 1:9225 LINCOLN DR APT F10
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:OH
Practice Address - Zip Code:44067-1155
Practice Address - Country:US
Practice Address - Phone:216-466-3675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator