Provider Demographics
NPI:1245538628
Name:SAWITZ, SOFIA V (DPT)
Entity type:Individual
Prefix:DR
First Name:SOFIA
Middle Name:V
Last Name:SAWITZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 E LA VETA AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92866-2902
Mailing Address - Country:US
Mailing Address - Phone:714-633-7400
Mailing Address - Fax:714-633-0738
Practice Address - Street 1:1800 E LA VETA AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-2902
Practice Address - Country:US
Practice Address - Phone:714-633-7400
Practice Address - Fax:714-633-0738
Is Sole Proprietor?:No
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT-37422225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist