Provider Demographics
NPI:1407049836
Name:SONNENSCHEIN, ANGELA RAE (PT)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:RAE
Last Name:SONNENSCHEIN
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 1:27116 BLUEBIRD PL
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:SD
Mailing Address - Zip Code:57032-8109
Mailing Address - Country:US
Mailing Address - Phone:605-361-8822
Mailing Address - Fax:
Practice Address - Street 1:27116 BLUEBIRD PL
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:SD
Practice Address - Zip Code:57032-8109
Practice Address - Country:US
Practice Address - Phone:605-361-8822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD10182251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics