Provider Demographics
NPI:1205046117
Name:SANKA, LAKSHMI N (PT)
Entity Type:Individual
Prefix:MRS
First Name:LAKSHMI
Middle Name:N
Last Name:SANKA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8270 STREAMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2138
Mailing Address - Country:US
Mailing Address - Phone:410-922-3793
Mailing Address - Fax:
Practice Address - Street 1:1700 REISTERSTOWN ROAD, SUITE 125
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-3974
Practice Address - Country:US
Practice Address - Phone:410-484-0081
Practice Address - Fax:410-484-0441
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17411225100000X, 2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics