Provider Demographics
NPI:1255689774
Name:SZABO, SHERRI K (PT)
Entity Type:Individual
Prefix:MS
First Name:SHERRI
Middle Name:K
Last Name:SZABO
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 1:525 MELISSA AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:BARSTOW
Mailing Address - State:CA
Mailing Address - Zip Code:92311-3002
Mailing Address - Country:US
Mailing Address - Phone:760-256-1888
Mailing Address - Fax:760-256-2893
Practice Address - Street 1:525 MELISSA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:BARSTOW
Practice Address - State:CA
Practice Address - Zip Code:92311-3002
Practice Address - Country:US
Practice Address - Phone:760-256-1888
Practice Address - Fax:760-256-2893
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT38776225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist