Healthcare Provider Details

I. General information

NPI: 1760273916
Provider Name (Legal Business Name): SARAH DELGADO PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2025
Last Update Date: 05/16/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E FOOTHILL BLVD STE 100
ARCADIA CA
91006-2551
US

IV. Provider business mailing address

826 JUNIPERO DR
DUARTE CA
91010-3708
US

V. Phone/Fax

Practice location:
  • Phone: 626-275-6302
  • Fax:
Mailing address:
  • Phone: 626-244-4529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number53252
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: