Provider Demographics
NPI:1699175166
Name:SIKORSKA, MARTA MALGORZATA (MSOT OTR/L)
Entity Type:Individual
Prefix:
First Name:MARTA
Middle Name:MALGORZATA
Last Name:SIKORSKA
Suffix:
Gender:F
Credentials:MSOT OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2817 HIGHLAND AVE S APT 2A
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1843
Mailing Address - Country:US
Mailing Address - Phone:205-253-4440
Mailing Address - Fax:
Practice Address - Street 1:2817 HIGHLAND AVE S APT 2A
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1843
Practice Address - Country:US
Practice Address - Phone:205-253-4440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3786225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist