Basic Information
| Provider Information | |||||||||
| NPI: | 1689745853 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARMBRUSTER | ||||||||
| FirstName: | SONIA | ||||||||
| MiddleName: | DELGADO | ||||||||
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| Credential: | MPT | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | DELGADO | ||||||||
| OtherFirstName: | SONIA | ||||||||
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| OtherCredential: | MPT | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 24 VIA DIVERTIRSE | ||||||||
| Address2: | |||||||||
| City: | SAN CLEMENTE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926737014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7145445565 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 17321 17TH ST | ||||||||
| Address2: | |||||||||
| City: | TUSTIN | ||||||||
| State: | CA | ||||||||
| PostalCode: | 927807919 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7145445565 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2006 | ||||||||
| LastUpdateDate: | 10/09/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251X0800X | PT26971 | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No ID Information.