Provider Demographics
NPI:1235571407
Name:SIKACZOWSKI, NATALIA SOPHIA (DPT)
Entity Type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:SOPHIA
Last Name:SIKACZOWSKI
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 1:28 W FLAGLER ST
Mailing Address - Street 2:STE 901
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1894
Mailing Address - Country:US
Mailing Address - Phone:305-331-2277
Mailing Address - Fax:305-424-9361
Practice Address - Street 1:28 W FLAGLER ST
Practice Address - Street 2:SUITE 901
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1806
Practice Address - Country:US
Practice Address - Phone:815-814-8444
Practice Address - Fax:305-424-9361
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-29
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT28379225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist