Provider Demographics
NPI:1104161009
Name:KAPP, SANDRA KAPP (BOCPD)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:KAPP
Last Name:KAPP
Suffix:
Gender:F
Credentials:BOCPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 KAPP DR
Mailing Address - Street 2:
Mailing Address - City:COWANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16218-1809
Mailing Address - Country:US
Mailing Address - Phone:724-525-6886
Mailing Address - Fax:
Practice Address - Street 1:115 KAPP DR
Practice Address - Street 2:
Practice Address - City:COWANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16218-1809
Practice Address - Country:US
Practice Address - Phone:724-525-6886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-03
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
C50899224L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist