Healthcare Provider Details

I. General information

NPI: 1083857452
Provider Name (Legal Business Name): SARA T FRASHURE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2009
Last Update Date: 04/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 WATERDAM RD
MC MURRAY PA
15317-2576
US

IV. Provider business mailing address

1427 MERVIN AVE APT. 2
PITTSBURGH PA
15216-2028
US

V. Phone/Fax

Practice location:
  • Phone: 724-942-1511
  • Fax: 724-942-1513
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-019734
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: