SOPHIA BURCHULADZE

VALLEJO, CA
NPI1144972340
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  300679)
Enumeration Date2022-01-19
Last Update Date2022-01-19
Business Address
SOPHIA BURCHULADZE DPT
975 SERENO DR
VALLEJO, CA 94589-2441
Phone number: 707-651-4756
Mailing Address
SOPHIA BURCHULADZE DPT
21 HEMWAY TER
SAN FRANCISCO, CA 94117-1221
Phone number: 415-310-6035