Bautista, Sonya M

Bautista, Sonya M is an individual health care provider with primary practice located at 2040 John Rolfe Pkwy , Richmond VA 23238-8111. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Bautista, Sonya M can be contacted via phone (804) 754-0916.

Contact Information

Primary practice address
2040 John Rolfe Pkwy Richmond VA 23238-8111
Phone: (804) 754-0916
Fax: (804) 754-0919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 2305005005 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305005005 Virginia

Profile Details

NPI number 1104924125
LBN Legal business name Bautista, Sonya M
Credentials PT, MSPT, CERT DN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Oct 19th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104924125 NPPES
Virginia Other C05954 GROUP MEDICARE PTAN

Popular Providers