Provider Demographics
NPI:1912170093
Name:SONABEND, JOAN (LMT)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:
Last Name:SONABEND
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 NW 80TH AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-2905
Mailing Address - Country:US
Mailing Address - Phone:954-250-2501
Mailing Address - Fax:
Practice Address - Street 1:1402 NW 80TH AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-2905
Practice Address - Country:US
Practice Address - Phone:954-250-2501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA34288225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist