MEDICARE: MRS. MARGARET A SARTOR PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT 003342	OH

General Provider Information

NPI Number	:	1114232758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGARET A SARTOR PT

Provider Business Mailing Address
First Line	:	5121 HOFFMAN RD
Second Line	:
City	:	ROME
State	:	OH
Zip	:	44085-9624
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5121 HOFFMAN RD
Second Line	:
City	:	ROME
State	:	OH
Zip	:	44085-9624
Country	:	US
Telephone Number	:	440-474-4178
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2010
Last Update Date	:	08/06/2010

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