Provider Demographics
NPI:1194822502
Name:SOKALSKY, SUSAN LORRAINE (DPT)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:LORRAINE
Last Name:SOKALSKY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2203 S TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-5016
Mailing Address - Country:US
Mailing Address - Phone:941-408-0670
Mailing Address - Fax:
Practice Address - Street 1:5211 MANATEE AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-3742
Practice Address - Country:US
Practice Address - Phone:941-749-1734
Practice Address - Fax:941-749-7136
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT010944L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist