MEDICARE: SARAH KNOWLAND ELDRED 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	16798	MA

General Provider Information

NPI Number	:	1558435669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH KNOWLAND ELDRED DPT

Provider Business Mailing Address
First Line	:	PO BOX 167
Second Line	:
City	:	EAST DENNIS
State	:	MA
Zip	:	02641-0167
Country	:	US
Telephone Number	:	508-221-3885
Fax Number	:

Provider Business Practice Location Address
First Line	:	157 ROUTE 137
Second Line	:
City	:	EAST HARWICH
State	:	MA
Zip	:	02645-1320
Country	:	US
Telephone Number	:	508-432-5760
Fax Number	:	508-432-5829

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

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	07/08/2007

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