Healthcare Provider Details
I. General information
NPI: 1265727523
Provider Name (Legal Business Name): SARA TONER CHALABALA PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/15/2011
Last Update Date: 10/16/2020
Certification Date: 10/16/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
26744 JOHN J WILLIAMS HWY UNIT 1B
MILLSBORO DE
19966-4667
US
IV. Provider business mailing address
659 S SALISBURY BLVD STE 1B
SALISBURY MD
21801-5458
US
V. Phone/Fax
- Phone: 302-945-4250
- Fax: 302-945-3190
- Phone: 410-831-3226
- Fax: 410-677-0883
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 034843 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: