MEDICARE: SARA SATAMIAN PT, DPT

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	225100000X	Physical Therapist	12262PT	AZ

General Provider Information

NPI Number	:	1104276773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA SATAMIAN PT, DPT

Provider Business Mailing Address
First Line	:	19646 N 27TH AVE STE 405
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-4028
Country	:	US
Telephone Number	:	623-683-8260
Fax Number	:

Provider Business Practice Location Address
First Line	:	19646 N 27TH AVE STE 405
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-4028
Country	:	US
Telephone Number	:	623-683-8260
Fax Number	:

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

Provider Enumeration Date	:	06/15/2016
Last Update Date	:	07/23/2024

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Directions to “ SARA SATAMIAN PT, DPT” Practice Location

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