Provider Demographics
NPI:1013361260
Name:ARMSTRONG, SOFIA (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:SOFIA
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6716 POINTE VISTA CIR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-7336
Mailing Address - Country:US
Mailing Address - Phone:919-280-7075
Mailing Address - Fax:
Practice Address - Street 1:2223 GREENVILLE BLVD NE
Practice Address - Street 2:101A
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-4180
Practice Address - Country:US
Practice Address - Phone:919-280-7075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer