Provider Demographics
NPI:1689745853
Name:ARMBRUSTER, SONIA DELGADO (MPT)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:DELGADO
Last Name:ARMBRUSTER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:
Other - Last Name:DELGADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:24 VIA DIVERTIRSE
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-7014
Mailing Address - Country:US
Mailing Address - Phone:714-544-5565
Mailing Address - Fax:
Practice Address - Street 1:17321 17TH ST
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-7919
Practice Address - Country:US
Practice Address - Phone:714-544-5565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT269712251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWPT26971AMedicare PIN
CAP87356Medicare UPIN