Provider Demographics
NPI:1861512907
Name:ROBERTSON-JONES, SONYA MARIE (PT)
Entity type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:MARIE
Last Name:ROBERTSON-JONES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 ROSEBANK WAY
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-2850
Mailing Address - Country:US
Mailing Address - Phone:864-322-5309
Mailing Address - Fax:
Practice Address - Street 1:218 ROSEBANK WAY
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-2850
Practice Address - Country:US
Practice Address - Phone:864-322-5309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2017225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC2017OtherPT LICENSURE