Provider Demographics
NPI:1922327998
Name:LARKIN, SANDY (PT)
Entity Type:Individual
Prefix:MRS
First Name:SANDY
Middle Name:
Last Name:LARKIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 TIMOTHY CT
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1812
Mailing Address - Country:US
Mailing Address - Phone:845-425-1042
Mailing Address - Fax:845-425-6151
Practice Address - Street 1:8 TIMOTHY CT
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1812
Practice Address - Country:US
Practice Address - Phone:845-425-1042
Practice Address - Fax:845-425-6151
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3612225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist