Provider Demographics
NPI:1063501211
Name:SINKOLA, DAWN E (PT)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:E
Last Name:SINKOLA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:DAWN
Other - Middle Name:E
Other - Last Name:SINKOLA-EICHLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:1155 MALIBU DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-2839
Mailing Address - Country:US
Mailing Address - Phone:770-653-6746
Mailing Address - Fax:770-517-9590
Practice Address - Street 1:1155 MALIBU DR
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-2839
Practice Address - Country:US
Practice Address - Phone:770-653-6746
Practice Address - Fax:770-517-9590
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT004069225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA65BBCCQMedicare ID - Type UnspecifiedMEDICARE PART B PROVIDER