Healthcare Provider Details

I. General information

NPI: 1285381954
Provider Name (Legal Business Name): SARAH N HOBBS PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH L HOBBS PTA

II. Dates (important events)

Enumeration Date: 03/03/2022
Last Update Date: 03/03/2022
Certification Date: 03/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 CLEARFIELD AVE
VIRGINIA BEACH VA
23462-1815
US

IV. Provider business mailing address

225 CLEARFIELD AVE
VIRGINIA BEACH VA
23462-1815
US

V. Phone/Fax

Practice location:
  • Phone: 757-457-5100
  • Fax: 757-961-3696
Mailing address:
  • Phone: 757-457-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2306602341
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: