Provider Demographics
NPI:1225758741
Name:ROSENBERG, SONDRA ELLEN (ATR-BC)
Entity Type:Individual
Prefix:
First Name:SONDRA
Middle Name:ELLEN
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 E ALLENS LN
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-1103
Mailing Address - Country:US
Mailing Address - Phone:610-304-8990
Mailing Address - Fax:
Practice Address - Street 1:406 E ALLENS LN
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-1103
Practice Address - Country:US
Practice Address - Phone:610-304-8990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist