Individual ProviderOlivia SandfordMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address709 N Main St, North Syracuse, NY 13212-1669(315) 569-4549(315) 530-7191PECOS EnrollmentBased on the most recent information from CMS, provider Olivia Sandford does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1437717725Provider TypeIndividualFull NameSandford, OliviaTitleMs.GenderFemaleSole ProprietorNoEnumeration Date5/31/2019Last Updated5/31/2019Contact InformationPractice LocationPractice Address709 N Main St, North Syracuse, NY 13212-1669Phone(315) 569-4549FaxUnlisted FaxMailing LocationMailing Address702 Forest Dr, North Syracuse, NY 13212-2449Phone(315) 530-7191FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer