Basic Information
| Provider Information | |||||||||
| NPI: | 1851617682 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SONCRANT | ||||||||
| FirstName: | DONNA | ||||||||
| MiddleName: | RENEE | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6001 LANDERHAVEN DR | ||||||||
| Address2: | BUILDING A-1 | ||||||||
| City: | MAYFIELD HEIGHTS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441244190 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4404493400 | ||||||||
| FaxNumber: | 4404493402 | ||||||||
| Practice Location | |||||||||
| Address1: | 6001 LANDERHAVEN DR | ||||||||
| Address2: | BUILDING A-1 | ||||||||
| City: | MAYFIELD HEIGHTS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441244190 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4404493400 | ||||||||
| FaxNumber: | 4404493402 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2010 | ||||||||
| LastUpdateDate: | 11/16/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 007215 | OH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.