Provider Demographics
NPI:1902004153
Name:SLADEK, SABRINA DE CONTI (DPT)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:DE CONTI
Last Name:SLADEK
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 1:15201 SHADY GROVE RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3217
Mailing Address - Country:US
Mailing Address - Phone:301-948-4395
Mailing Address - Fax:301-407-1860
Practice Address - Street 1:15201 SHADY GROVE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3217
Practice Address - Country:US
Practice Address - Phone:301-948-4395
Practice Address - Fax:301-407-1860
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22276225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist