Provider Demographics
NPI:1104131911
Name:SANFORD, FRANCHESKA TIERRE (MHA, ATC)
Entity type:Individual
Prefix:
First Name:FRANCHESKA
Middle Name:TIERRE
Last Name:SANFORD
Suffix:
Gender:F
Credentials:MHA, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21519
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-0519
Mailing Address - Country:US
Mailing Address - Phone:216-225-9171
Mailing Address - Fax:
Practice Address - Street 1:2030 STRINGTOWN RD STE 210
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-3993
Practice Address - Country:US
Practice Address - Phone:614-544-0273
Practice Address - Fax:614-544-0016
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0027252255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer