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General NPI Number Information
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NPI Number | 1194945659
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Entity Type | Individual
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Provider Name | SARA GATES THORNE PT, DPT, OCS
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 3780 JACKSON RD
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City | ANN ARBOR
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State | MI
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Zip | 48103-1871
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Country | US
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Telephone | 734-604-3383
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Fax | 877-663-9299
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Provider Business Mailing Address
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Address Line | 305 W KEECH AVE
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City | ANN ARBOR
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State | MI
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Zip | 48103-5532
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Country | US
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Telephone | 773-580-9716
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 5501020080
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License Number State | MI
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