Provider Demographics
NPI:1366577900
Name:WRIGHT, SONYA W (MPT)
Entity type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:W
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3800 PLEASANT HILL RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-1428
Mailing Address - Country:US
Mailing Address - Phone:678-473-7707
Mailing Address - Fax:678-473-7706
Practice Address - Street 1:3800 PLEASANT HILL RD
Practice Address - Street 2:SUITE 3
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-1428
Practice Address - Country:US
Practice Address - Phone:678-473-7707
Practice Address - Fax:678-473-7706
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT-4490225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA65BBBDPMedicare ID - Type UnspecifiedPROVIDER NUMBER