Provider Demographics
NPI:1285084772
Name:BAUER, SONJA (PT)
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:BAUER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SONJA
Other - Middle Name:
Other - Last Name:KRANZFELDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:325 DISTEL CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1408
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4000 DUBLIN BLVD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-3113
Practice Address - Country:US
Practice Address - Phone:510-498-3900
Practice Address - Fax:510-498-3925
Is Sole Proprietor?:No
Enumeration Date:2016-06-15
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist