Healthcare Provider Details
I. General information
NPI: 1972176634
Provider Name (Legal Business Name): MARGARET J SARAS PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/21/2021
Last Update Date: 12/20/2021
Certification Date: 12/20/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 N MEDICAL DR
SALT LAKE CITY UT
84132-0001
US
IV. Provider business mailing address
50 N MEDICAL DR
SALT LAKE CITY UT
84132-0001
US
V. Phone/Fax
- Phone: 801-587-3422
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 12344865-2401 |
| License Number State | UT |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251N0400X |
| Taxonomy | Neurology Physical Therapist |
| License Number | 12344865-2401 |
| License Number State | UT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: