Provider Demographics
NPI:1760640288
Name:SELLARS, SONYA S (OTR/L)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:S
Last Name:SELLARS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:SONYA
Other - Middle Name:LAURIE
Other - Last Name:SINGLETARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:11429 COREOPSIS RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-9261
Mailing Address - Country:US
Mailing Address - Phone:704-599-0231
Mailing Address - Fax:
Practice Address - Street 1:11429 COREOPSIS RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-9261
Practice Address - Country:US
Practice Address - Phone:704-599-0231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2089225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2089OtherNC BOARD OF OCCUPATIONAL THERAPY
999661OtherNATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY