Provider Demographics
NPI:1841464344
Name:SAWYER, SONYA D (MPT)
Entity type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:D
Last Name:SAWYER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1732 LOMBARD LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-3209
Mailing Address - Country:US
Mailing Address - Phone:916-718-1809
Mailing Address - Fax:
Practice Address - Street 1:1732 LOMBARD LN
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-3209
Practice Address - Country:US
Practice Address - Phone:916-718-1809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT184392251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics