Provider Demographics
NPI:1366693608
Name:STEKOLL, SARA (DPT)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:STEKOLL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:PRUDIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:3220 HOSPITAL DR STE 101
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-7899
Mailing Address - Country:US
Mailing Address - Phone:907-364-2663
Mailing Address - Fax:907-364-2662
Practice Address - Street 1:3220 HOSPITAL DR STE 101
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-7899
Practice Address - Country:US
Practice Address - Phone:907-364-2663
Practice Address - Fax:907-364-2662
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1996225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist