Provider Demographics
NPI:1982878484
Name:SAWYER PEDIATRIC THERAPIES AND PHYSICAL THERAPY, INCORPORATED
Entity Type:Organization
Organization Name:SAWYER PEDIATRIC THERAPIES AND PHYSICAL THERAPY, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:916-718-1809
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:916-408-2724
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:916-408-2724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT18439261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities