Provider Demographics
NPI:1821739129
Name:STOTSKY, SONIA (DPT)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:STOTSKY
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 1:11821 PEMBRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-7222
Mailing Address - Country:US
Mailing Address - Phone:919-623-7724
Mailing Address - Fax:
Practice Address - Street 1:8002 PEACHTREE TOWN LN
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-7496
Practice Address - Country:US
Practice Address - Phone:919-917-2971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-02
Last Update Date:2022-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAP8628225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist