Healthcare Provider Details

I. General information

NPI: 1548106255
Provider Name (Legal Business Name): SOFIA B. M. LOWE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 MACHECHE RD
BARRIGADA GU
96913
US

IV. Provider business mailing address

170 E ROUTE 8
BARRIGADA GU
96913-1315
US

V. Phone/Fax

Practice location:
  • Phone: 671-787-4978
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.PT.61598181
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-183
License Number StateGU

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: