Provider Demographics
NPI:1124138862
Name:SOKAISKY, ERIN
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:SOKAISKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8211 PARKWAY RD
Mailing Address - Street 2:
Mailing Address - City:ORCHARD BEACH
Mailing Address - State:MD
Mailing Address - Zip Code:21226-1941
Mailing Address - Country:US
Mailing Address - Phone:717-503-0301
Mailing Address - Fax:
Practice Address - Street 1:200 HOSPITAL DR
Practice Address - Street 2:STE 506A
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5884
Practice Address - Country:US
Practice Address - Phone:410-768-5558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDA2645OtherLICENSE #