Provider Demographics
NPI:1477160786
Name:SONI, CARMEN ARAZBEL (LMT)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:ARAZBEL
Last Name:SONI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1032 NE 2ND TER
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-2657
Mailing Address - Country:US
Mailing Address - Phone:239-851-0347
Mailing Address - Fax:
Practice Address - Street 1:1032 NE 2ND TER
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-2657
Practice Address - Country:US
Practice Address - Phone:239-851-0347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA94138225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist