Healthcare Provider Details

I. General information

NPI: 1174077994
Provider Name (Legal Business Name): SARAH KUZMACK PT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2016
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8120 WOODMONT AVE STE 330
BETHESDA MD
20814-2743
US

IV. Provider business mailing address

8120 WOODMONT AVE STE 330
BETHESDA MD
20814-2743
US

V. Phone/Fax

Practice location:
  • Phone: 301-229-9110
  • Fax: 301-355-0615
Mailing address:
  • Phone: 301-229-9110
  • Fax: 301-355-0615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number26131
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: