Healthcare Provider Details

I. General information

NPI: 1336697044
Provider Name (Legal Business Name): SARAH BARNES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2016
Last Update Date: 09/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3280 E FOOTHILL BLVD
PASADENA CA
91107-3103
US

IV. Provider business mailing address

3280 E FOOTHILL BLVD
PASADENA CA
91107-3103
US

V. Phone/Fax

Practice location:
  • Phone: 626-583-3435
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number41561
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: