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NPI Code Detail

MEDICARE: SARAH WATKINS P.T.

MEDICARE: SARAH WATKINS P.T.
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
1225100000XPhysical Therapist005794NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427043215
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH WATKINS P.T.
Provider Business Mailing Address
First Line : 200 BROAD ST
Second Line :
City : SCHUYLERVILLE
State : NY
Zip : 12871-1024
Country : US
Telephone Number : 518-695-3668
Fax Number : 518-695-3614
Provider Business Practice Location Address
First Line : 200 BROAD ST
Second Line :
City : SCHUYLERVILLE
State : NY
Zip : 12871-1024
Country : US
Telephone Number : 518-695-3668
Fax Number : 518-695-3614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2005
Last Update Date : 07/09/2007

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