Individual
GREGORY A SONNTAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1118 VIEW AVE, CENTRALIA, WA 98531-1870
(360) 736-5273
Mailing address
1118 VIEW AVE, CENTRALIA, WA 98531-1870
(360) 736-5273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60828763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0461740
BCBS PROVIDER #
AZ
Enumeration date
05/24/2006
Last updated
10/02/2018
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