Provider Demographics
NPI:1952147795
Name:SIKORSKY, TESIA KATHRYN (PT, DPT)
Entity type:Individual
Prefix:
First Name:TESIA
Middle Name:KATHRYN
Last Name:SIKORSKY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 N UNDERWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22213-1110
Mailing Address - Country:US
Mailing Address - Phone:571-477-0559
Mailing Address - Fax:
Practice Address - Street 1:2505 N UNDERWOOD ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22213-1110
Practice Address - Country:US
Practice Address - Phone:571-477-0559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305216439225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist