Provider Demographics
NPI:1750474565
Name:THORNTON, SONJA KATHLEEN (PT)
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:KATHLEEN
Last Name:THORNTON
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 1:125 ONEIL RD
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98844-9780
Mailing Address - Country:US
Mailing Address - Phone:509-476-3373
Mailing Address - Fax:
Practice Address - Street 1:125 ONEIL RD
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:WA
Practice Address - Zip Code:98844-9780
Practice Address - Country:US
Practice Address - Phone:509-476-3373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00003755225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist