Healthcare Provider Details

I. General information

NPI: 1023021136
Provider Name (Legal Business Name): SARAH OLNEY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 N UNIVERSITY AVE
LITTLE ROCK AR
72205-3109
US

IV. Provider business mailing address

2016 N GARFIELD ST
LITTLE ROCK AR
72207-3406
US

V. Phone/Fax

Practice location:
  • Phone: 501-661-0336
  • Fax:
Mailing address:
  • Phone: 405-812-0199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: