Provider Demographics
NPI:1518973866
Name:SAJOR, JOSEPHINE NEGROSA (PT)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:NEGROSA
Last Name:SAJOR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JOSEPHINE
Other - Middle Name:DESIERTO
Other - Last Name:NEGROSA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:101 RIDGEMONT CT
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-6909
Mailing Address - Country:US
Mailing Address - Phone:615-826-0267
Mailing Address - Fax:
Practice Address - Street 1:1310 24TH AVE S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-2637
Practice Address - Country:US
Practice Address - Phone:615-327-4751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000003694225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist