Provider Demographics
NPI:1750422739
Name:DEKKER SANCHEZ, SHERYL LYNN (RPT)
Entity type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:LYNN
Last Name:DEKKER SANCHEZ
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11037 CAMINITO VISTA PACIFICA
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-2395
Mailing Address - Country:US
Mailing Address - Phone:619-585-4080
Mailing Address - Fax:
Practice Address - Street 1:344 F ST
Practice Address - Street 2:SUITE 300
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-2645
Practice Address - Country:US
Practice Address - Phone:619-585-4080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT7565225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist