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NPI Code Detail

MEDICARE: SARA VICARI PT

MEDICARE: SARA VICARI PT
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
1225100000XPhysical TherapistPT010814OH

General Provider Information

NPI Number : 1235243809
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA VICARI PT
Provider Business Mailing Address
First Line : 3425 EXECUTIVE PKWY
Second Line : SUITE 128
City : TOLEDO
State : OH
Zip : 43606-1326
Country : US
Telephone Number : 419-537-0764
Fax Number : 419-537-0948
Provider Business Practice Location Address
First Line : 11000 STATE ROUTE 347
Second Line :
City : EAST LIBERTY
State : OH
Zip : 43319-9470
Country : US
Telephone Number : 937-578-0598
Fax Number : 937-578-0549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 07/08/2007

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Directions to “ SARA VICARI PT” Practice Location

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