Provider Demographics
NPI:1033458823
Name:SOBERS, TOYA NICOLE (PT)
Entity Type:Individual
Prefix:MRS
First Name:TOYA
Middle Name:NICOLE
Last Name:SOBERS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7345 HUNTERS GREENE CIR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33810-5211
Mailing Address - Country:US
Mailing Address - Phone:863-815-2392
Mailing Address - Fax:
Practice Address - Street 1:7345 HUNTERS GREENE CIR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33810-5211
Practice Address - Country:US
Practice Address - Phone:863-815-2392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18129225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist