Provider Demographics
NPI:1952344715
Name:BRANSFORD, SANDY LEA
Entity Type:Individual
Prefix:MS
First Name:SANDY
Middle Name:LEA
Last Name:BRANSFORD
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 1:1222 ORANGE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4918
Mailing Address - Country:US
Mailing Address - Phone:407-740-7772
Mailing Address - Fax:407-539-1791
Practice Address - Street 1:1222 ORANGE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4918
Practice Address - Country:US
Practice Address - Phone:407-740-7772
Practice Address - Fax:407-539-1791
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter