Provider Demographics
NPI:1760721245
Name:BARRERA, SONJA MARGARET (PT)
Entity Type:Individual
Prefix:MRS
First Name:SONJA
Middle Name:MARGARET
Last Name:BARRERA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26613 N NORTH RD
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:WA
Mailing Address - Zip Code:99006-8310
Mailing Address - Country:US
Mailing Address - Phone:509-276-1137
Mailing Address - Fax:
Practice Address - Street 1:2219 N 6TH ST
Practice Address - Street 2:
Practice Address - City:CHENEY
Practice Address - State:WA
Practice Address - Zip Code:99004-2171
Practice Address - Country:US
Practice Address - Phone:509-235-6196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00006086225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist