Individual
TINA SONKOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5778 CHAPIN ST, FLORENCE, WI 54121-9443
(715) 528-4833
Mailing address
PO BOX 71, 3389 COOKS LANE NORTH, LONG LAKE, WI 54542-0071
(715) 415-5101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4396-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41037800
—
WI
Enumeration date
05/16/2007
Last updated
09/23/2013
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