Provider Demographics
NPI:1538559836
Name:SOKOL, DANIELLE CHANDLER (PTA)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:CHANDLER
Last Name:SOKOL
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 OAKCREST DR APT 236
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-1728
Mailing Address - Country:US
Mailing Address - Phone:808-888-9137
Mailing Address - Fax:
Practice Address - Street 1:6439 GARNERS FERRY ROAD
Practice Address - Street 2:WM. JENNINGS BRYAN DORN VA MEDICAL CENTER
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-1639
Practice Address - Country:US
Practice Address - Phone:803-776-4000
Practice Address - Fax:803-695-7932
Is Sole Proprietor?:No
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3207225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant