Provider Demographics
NPI:1912289422
Name:SANFORD, TONIA (OT)
Entity type:Individual
Prefix:
First Name:TONIA
Middle Name:
Last Name:SANFORD
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6543 HOHMAN AVE
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46324-1021
Mailing Address - Country:US
Mailing Address - Phone:309-750-9599
Mailing Address - Fax:
Practice Address - Street 1:1946 45TH ST STE A
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-3956
Practice Address - Country:US
Practice Address - Phone:219-332-0033
Practice Address - Fax:317-520-8200
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2025-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056007395225X00000X
IN31008851A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist