| Doctor Name: | SARA BETH DETWEILER |
| NPI Number: | 1366758013 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 6245 |
| Business Practice Address: | 525 N Santiam Hwy Physical Therapy And Rehab Medicine Lebanon, OR - 973554363 |
| Business Phone Number: | 5412582101 |
| Business Fax Number: | |
| Mailing Address: | Po Box 455, Apt. 2i FOLLY BEACH |
| State: | SC |
| Postal Code: | 294390455 |
| Phone Number: | 6603499730 |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2010 |
| NPI Last Update Date: | 08/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 6245 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |