Provider Demographics
NPI:1730724725
Name:SONENBLUM, RACHEL SARA (PT, DPT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:SARA
Last Name:SONENBLUM
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 WILSON BLVD APT 517
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-3376
Mailing Address - Country:US
Mailing Address - Phone:954-729-4705
Mailing Address - Fax:
Practice Address - Street 1:6410 ARLINGTON BLVD UNIT A
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-2355
Practice Address - Country:US
Practice Address - Phone:703-717-7657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist