MEDICARE: SONJA CHRISTINE EVERS PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	21618	MD

General Provider Information

NPI Number	:	1669493490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONJA CHRISTINE EVERS PT

Provider Business Mailing Address
First Line	:	1364 E ST SE # 2
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20003-3005
Country	:	US
Telephone Number	:	202-546-2928
Fax Number	:

Provider Business Practice Location Address
First Line	:	6308 DEMOCRACY BLVD
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-1664
Country	:	US
Telephone Number	:	301-530-2383
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	07/08/2007

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