Provider Demographics
NPI:1003869207
Name:SOKOLSKI, ANDREW K (PT)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:K
Last Name:SOKOLSKI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 LEE LN
Mailing Address - Street 2:
Mailing Address - City:TOLLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06084-3948
Mailing Address - Country:US
Mailing Address - Phone:631-379-7684
Mailing Address - Fax:860-432-0815
Practice Address - Street 1:230 DEMING ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06042-1778
Practice Address - Country:US
Practice Address - Phone:631-379-7684
Practice Address - Fax:860-432-0815
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007873225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist