MEDICARE: SARAH WOOD 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
1	225100000X	Physical Therapist	5093	AZ

General Provider Information

NPI Number	:	1447985528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH WOOD PT

Provider Business Mailing Address
First Line	:	7502 N 20TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-4702
Country	:	US
Telephone Number	:	602-326-6206
Fax Number	:

Provider Business Practice Location Address
First Line	:	7502 N 20TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-4702
Country	:	US
Telephone Number	:	602-326-6206
Fax Number	:

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

Provider Enumeration Date	:	07/21/2022
Last Update Date	:	07/21/2022

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Directions to “ SARAH WOOD PT” Practice Location

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