Healthcare Provider Details

I. General information

NPI: 1568784460
Provider Name (Legal Business Name): SARAH SHARON GAW MSPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2010
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6385 CORPORATE DR STE 100
COLORADO SPRINGS CO
80919-5912
US

IV. Provider business mailing address

20215 PHOEBE GRV
COLORADO SPRINGS CO
80908-1176
US

V. Phone/Fax

Practice location:
  • Phone: 719-577-9190
  • Fax: 719-785-3798
Mailing address:
  • Phone: 719-494-6446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number8037
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: