| Doctor Name: | SOPHIA A RISORTO |
| NPI Number: | 1154363422 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 10584 |
| Business Practice Address: | 68860 Perez Rd Ste E2 Cathedral City, CA - 922347248 |
| Business Phone Number: | 7607706651 |
| Business Fax Number: | 7607706651 |
| Mailing Address: | 68860 Perez Rd Ste E2, CATHEDRAL CITY |
| State: | CA |
| Postal Code: | 922347248 |
| Phone Number: | 7607706651 |
| Fax Number: | 7607706651 |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 04/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 10584 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |