Provider Demographics
NPI:1881122802
Name:SONZA, FARRAH BOQUIA (PT)
Entity type:Individual
Prefix:
First Name:FARRAH
Middle Name:BOQUIA
Last Name:SONZA
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 1:49 RODEO PALMS BLVD
Mailing Address - Street 2:
Mailing Address - City:MANVEL
Mailing Address - State:TX
Mailing Address - Zip Code:77578-1773
Mailing Address - Country:US
Mailing Address - Phone:346-775-1435
Mailing Address - Fax:
Practice Address - Street 1:5020 KELVIN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-2533
Practice Address - Country:US
Practice Address - Phone:346-775-1435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-03
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1291160225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist