Provider Demographics
NPI:1780188839
Name:POKEA, SONDRA ERLENE (OTR/L)
Entity Type:Individual
Prefix:
First Name:SONDRA
Middle Name:ERLENE
Last Name:POKEA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:SONDRA
Other - Middle Name:ERLENE
Other - Last Name:SHEETS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:565 WEST NESHANNOCK AVE.
Mailing Address - Street 2:
Mailing Address - City:NEW WILMINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:16142-3228
Mailing Address - Country:US
Mailing Address - Phone:724-946-3313
Mailing Address - Fax:724-946-2770
Practice Address - Street 1:1599 N. HERMITAGE RD
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-4405
Practice Address - Country:US
Practice Address - Phone:724-962-7920
Practice Address - Fax:724-962-6029
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC006255L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist