MRS. Sophia Formosa

NPI #1801788542 in Garberville, California

Provider Information

NPI Number: 1801788542
Entity Type: Individual
Name: MRS. Sophia Formosa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jul 17, 2025
Last Updated: Jul 17, 2025

Practice Location

Address: 733 CEDAR ST
City: Garberville
State: California
ZIP Code: 95542-3201
Phone: (707) 923-3921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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