MEDICARE: SARA CRIMMINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1093646291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA CRIMMINS

Provider Business Mailing Address
First Line	:	4 MAY ST
Second Line	:
City	:	CANTON
State	:	MA
Zip	:	02021-2038
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	118 LONG POND RD STE 106
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-2662
Country	:	US
Telephone Number	:	508-747-6762
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “ SARA CRIMMINS ” Practice Location

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