Provider Demographics
NPI:1053376285
Name:SOWINSKI, LIANE M (MS, ATC/L)
Entity type:Individual
Prefix:
First Name:LIANE
Middle Name:M
Last Name:SOWINSKI
Suffix:
Gender:F
Credentials:MS, ATC/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30836 LANESBOROUGH CIR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-3922
Mailing Address - Country:US
Mailing Address - Phone:813-994-5135
Mailing Address - Fax:
Practice Address - Street 1:30836 LANESBOROUGH CIR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-3922
Practice Address - Country:US
Practice Address - Phone:813-994-5135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2009-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0126000989174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist