Individual
SONIA WAITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 747-1800
Mailing address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
9416
TN
Other
Enumeration date
09/28/2019
Last updated
04/14/2020
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