MEDICARE: SARAH ELIZABETH LEISTER DPT

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	25998	MD
2	225100000X	Physical Therapist	J1-0014643	DE

General Provider Information

NPI Number	:	1992344394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ELIZABETH LEISTER DPT

Provider Business Mailing Address
First Line	:	PO BOX 392573
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9500
Country	:	US
Telephone Number	:	724-343-4060
Fax Number	:

Provider Business Practice Location Address
First Line	:	17425 OCEAN ONE PLZ
Second Line	:
City	:	LEWES
State	:	DE
Zip	:	19958-1924
Country	:	US
Telephone Number	:	302-703-0213
Fax Number	:

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

Provider Enumeration Date	:	01/02/2020
Last Update Date	:	10/07/2024

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