Healthcare Provider Details

I. General information

NPI: 1669562062
Provider Name (Legal Business Name): SARAH A. M. HERLIHY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2006
Last Update Date: 04/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 WASHINGTON ST SUITE 315
WELLESLEY HILLS MA
02481-6219
US

IV. Provider business mailing address

148 CLAFLIN ST
BELMONT MA
02478-3219
US

V. Phone/Fax

Practice location:
  • Phone: 781-237-9006
  • Fax: 781-237-4723
Mailing address:
  • Phone: 617-484-9975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11223
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: