Individual
SARA SOGOL AMOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT, CSCS
Contact information
Practice address
1124 MAIN ST, SUITE C, IRVINE, CA 92614-6760
(949) 394-8768
Mailing address
1422 KEEL DR, CORONA DEL MAR, CA 92625-1239
(949) 394-8768
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
26792
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26792
PHYSICAL THERAPY LICENSE
CA
Enumeration date
10/10/2006
Last updated
04/28/2009
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