Individual
KENDRA SOKOLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 FLOYD DR, SIKESTON, MO 63801-3960
(573) 472-0397
Mailing address
300 FLOYD DR, SIKESTON, MO 63801-3960
(573) 472-0397
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2019039403
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019039403
MO PTA LICENSE
MO
Enumeration date
03/25/2022
Last updated
03/25/2022
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