Sophia Burchuladze, DPT

NPI #1144972340 in Vallejo, California

Provider Information

NPI Number: 1144972340
Entity Type: Individual
Name: Sophia Burchuladze, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jan 19, 2022
Last Updated: Jan 19, 2022

Practice Location

Address: 975 SERENO DR
City: Vallejo
State: California
ZIP Code: 94589-2441
Phone: (707) 651-4756

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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