Provider Demographics
NPI:1205437928
Name:ALLAN, SONIA CRAFT (PT)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:CRAFT
Last Name:ALLAN
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:PO BOX 24927
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37422-4927
Mailing Address - Country:US
Mailing Address - Phone:423-643-2576
Mailing Address - Fax:423-648-4570
Practice Address - Street 1:979 E 3RD ST STE A245
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-3355
Practice Address - Country:US
Practice Address - Phone:423-778-4747
Practice Address - Fax:423-778-4751
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist