Healthcare Provider Details

I. General information

NPI: 1417798976
Provider Name (Legal Business Name): PAMELA KATHERINE SBARRA DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2024
Last Update Date: 06/06/2024
Certification Date: 06/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 POST RD W 1ST FLOOR
WESTPORT CT
06880
US

IV. Provider business mailing address

14 W RIDGE RD
NEW FAIRFIELD CT
06812-4902
US

V. Phone/Fax

Practice location:
  • Phone: 203-557-9165
  • Fax:
Mailing address:
  • Phone: 203-885-4869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14465
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: