Organization Name: | PHYSICAL SARAH-PY |
NPI Number: | 1386875052 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARAH MICHELE NORTHROP (PHYSICAL THERAPIST, OWNER) |
Mailing Address: | 239 Bonita Ave Pacifica |
State: | CA US |
Postal Code: | 940443116 |
Phone Number: | 4156996854 |
Fax Number: | 2705137454 |
NPI Enumeration Date: | 07/29/2009 |
NPI Last Update Date: | 01/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT 25837 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |