Healthcare Provider Details

I. General information

NPI: 1164714358
Provider Name (Legal Business Name): SARAH KRANZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2011
Last Update Date: 05/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 PORTWEST TER
RICHMOND VA
23238-5564
US

IV. Provider business mailing address

420 PORTWEST TER
RICHMOND VA
23238-5564
US

V. Phone/Fax

Practice location:
  • Phone: 804-363-5798
  • Fax: 866-316-9639
Mailing address:
  • Phone: 804-363-5798
  • Fax: 866-316-9639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number2305206427
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number2305206427
License Number StateVA

VIII. Authorized Official

Name: DR. SARAH MENUCHA KRANZ
Title or Position: SENIOR PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 804-363-5798