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NPI Code Detail

MEDICARE: SARAH RISNER DPT

MEDICARE:   SARAH  RISNER  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
1225100000XPhysical TherapistP22657NC

General Provider Information

NPI Number : 1245006360
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH RISNER DPT
Provider Business Mailing Address
First Line : 4214 N ROXBORO ST STE 100
Second Line :
City : DURHAM
State : NC
Zip : 27704-1888
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4214 N ROXBORO ST STE 100
Second Line :
City : DURHAM
State : NC
Zip : 27704-1888
Country : US
Telephone Number : 919-479-9001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2023
Last Update Date : 11/29/2023

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Directions to “ SARAH RISNER DPT” Practice Location

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