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NPI Code Detail

MEDICARE: MRS. SARAH ROSE MCCALL MPT

MEDICARE:  MRS. SARAH ROSE MCCALL  MPT
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 Therapist9833NC

General Provider Information

NPI Number : 1487771853
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH ROSE MCCALL MPT
Provider Business Mailing Address
First Line : 206 STEEPLECHASE DR
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-9348
Country : US
Telephone Number : 252-946-4563
Fax Number :
Provider Business Practice Location Address
First Line : 1375 COWELL FARM RD
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-3495
Country : US
Telephone Number : 252-975-4395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. SARAH ROSE MCCALL MPT” Practice Location

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