Provider Demographics
NPI:1407251036
Name:SONES, AMBER ANDREWS (PT, DPT)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:ANDREWS
Last Name:SONES
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3469 BROOK MOUNTAIN LN
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2200
Mailing Address - Country:US
Mailing Address - Phone:205-790-2629
Mailing Address - Fax:
Practice Address - Street 1:592 FIELDSTOWN RD
Practice Address - Street 2:SUITE 116
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-3414
Practice Address - Country:US
Practice Address - Phone:205-608-3606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7287225100000X
LA08262225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist