Provider Demographics
NPI:1316319734
Name:SINGH, SONA (DPT)
Entity type:Individual
Prefix:
First Name:SONA
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-1200
Mailing Address - Country:US
Mailing Address - Phone:856-535-0870
Mailing Address - Fax:
Practice Address - Street 1:7629 BELAIR RD
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-4003
Practice Address - Country:US
Practice Address - Phone:410-870-2104
Practice Address - Fax:410-870-6896
Is Sole Proprietor?:No
Enumeration Date:2015-10-25
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01624500225100000X
MD21950225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist