Provider Demographics
NPI:1275102998
Name:HINZ, SONJA ANNE (PTA)
Entity Type:Individual
Prefix:MS
First Name:SONJA
Middle Name:ANNE
Last Name:HINZ
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2823 BIRCHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1450
Mailing Address - Country:US
Mailing Address - Phone:360-224-5345
Mailing Address - Fax:
Practice Address - Street 1:1140 10TH ST STE 102
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7052
Practice Address - Country:US
Practice Address - Phone:360-949-1274
Practice Address - Fax:360-470-7152
Is Sole Proprietor?:No
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAP160429343225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant