Healthcare Provider Details

I. General information

NPI: 1659005486
Provider Name (Legal Business Name): SARAH FURLOW PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2022
Last Update Date: 07/16/2022
Certification Date: 07/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 W BAY AREA BLVD STE 608
WEBSTER TX
77598-4042
US

IV. Provider business mailing address

402 LINDA LN
FRIENDSWOOD TX
77546-3732
US

V. Phone/Fax

Practice location:
  • Phone: 281-338-1273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2038792
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: