Provider Demographics
NPI:1306000302
Name:SINKLER, LATOSHA ELIZABETH (DPT)
Entity Type:Individual
Prefix:
First Name:LATOSHA
Middle Name:ELIZABETH
Last Name:SINKLER
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 1:703 BRACEY MILL RD
Mailing Address - Street 2:
Mailing Address - City:DALZELL
Mailing Address - State:SC
Mailing Address - Zip Code:29040-8567
Mailing Address - Country:US
Mailing Address - Phone:843-278-5191
Mailing Address - Fax:
Practice Address - Street 1:4900 SEMINARY RD STE 100
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-1836
Practice Address - Country:US
Practice Address - Phone:703-578-6030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5745225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist