Provider Demographics
NPI:1477750701
Name:HAFER HAMILTON, SONYA LYNN (MPT)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:LYNN
Last Name:HAFER HAMILTON
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:SONYA
Other - Middle Name:LYNN
Other - Last Name:HAFER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPT
Mailing Address - Street 1:720 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:PA
Mailing Address - Zip Code:17847-1434
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 S FRONT ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:PA
Practice Address - Zip Code:17847-1110
Practice Address - Country:US
Practice Address - Phone:570-742-2453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018629225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist