Provider Demographics
NPI:1972110195
Name:COLON-GARCIA, SONIA I (LMT)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:I
Last Name:COLON-GARCIA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:I
Other - Last Name:COLON-GARCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:4 MAYWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-9761
Mailing Address - Country:US
Mailing Address - Phone:610-621-7730
Mailing Address - Fax:
Practice Address - Street 1:300 W LANCASTER AVE FL 1
Practice Address - Street 2:
Practice Address - City:SHILLINGTON
Practice Address - State:PA
Practice Address - Zip Code:19607-9941
Practice Address - Country:US
Practice Address - Phone:610-621-7730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-30
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG013741225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist