Provider Demographics
NPI:1093463788
Name:WRONKA, SEAN EDWARD (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:EDWARD
Last Name:WRONKA
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1464 MADERA RD UNIT I-1
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-3077
Mailing Address - Country:US
Mailing Address - Phone:805-306-1622
Mailing Address - Fax:
Practice Address - Street 1:1464 MADERA RD UNIT I-1
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-3077
Practice Address - Country:US
Practice Address - Phone:805-306-1622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-12
Last Update Date:2022-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic