Blue, Sophia Antonia

Blue, Sophia Antonia is an individual health care provider with primary practice located at 2130 Anderson Mill Rd , Austell GA 30106-1806. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Blue, Sophia Antonia can be contacted via phone (770) 941-8813.

Contact Information

Primary practice address
2130 Anderson Mill Rd Austell GA 30106-1806
Phone: (770) 941-8813
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 001390 Georgia

Profile Details

NPI number 1124502679
LBN Legal business name Blue, Sophia Antonia
Credentials LPTA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2018
Last updated Sep 20th, 2018 - about 7 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.

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