Provider Demographics
NPI:1780628867
Name:BROWN, SONJA LEWIS (OCCUPATIONAL THERAPI)
Entity Type:Individual
Prefix:MS
First Name:SONJA
Middle Name:LEWIS
Last Name:BROWN
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:SONJA
Other - Middle Name:J
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OCCUPATIONAL THERAPI
Mailing Address - Street 1:PO BOX 231322
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36123-1322
Mailing Address - Country:US
Mailing Address - Phone:334-356-8543
Mailing Address - Fax:334-356-8503
Practice Address - Street 1:4754 WOODMERE BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-3088
Practice Address - Country:US
Practice Address - Phone:334-356-8543
Practice Address - Fax:334-356-8503
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0360225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics