MEDICARE: SARAH ANN WRIGHT 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	1285	GA

General Provider Information

NPI Number	:	1770627937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ANN WRIGHT PT

Provider Business Mailing Address
First Line	:	1741 BERKELEY RD
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30904-5033
Country	:	US
Telephone Number	:	706-869-0505
Fax Number	:	706-869-0520

Provider Business Practice Location Address
First Line	:	3716B EXECUTIVE CENTER DR
Second Line	:
City	:	MARTINEZ
State	:	GA
Zip	:	30907-2359
Country	:	US
Telephone Number	:	706-869-0505
Fax Number	:	706-869-0520

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

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	07/08/2007

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Directions to “ SARAH ANN WRIGHT PT” Practice Location

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