Provider Demographics
NPI:1669299608
Name:TROY, SOFIA ALEXANDRIA
Entity type:Individual
Prefix:
First Name:SOFIA
Middle Name:ALEXANDRIA
Last Name:TROY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 MARION RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-2511
Mailing Address - Country:US
Mailing Address - Phone:508-954-4414
Mailing Address - Fax:
Practice Address - Street 1:18 MARION RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-2511
Practice Address - Country:US
Practice Address - Phone:508-954-4414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist