MEDICARE: SARAH HOSINSKI 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

General Provider Information

NPI Number	:	1730801879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH HOSINSKI PT

Provider Business Mailing Address
First Line	:	61633 BROMPTON RD
Second Line	:
City	:	SOUTH BEND
State	:	IN
Zip	:	46614-6441
Country	:	US
Telephone Number	:	574-904-7622
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 E JACKSON BLVD
Second Line	:	STE 150
City	:	ELKHART
State	:	IN
Zip	:	46516-3513
Country	:	US
Telephone Number	:	574-389-5558
Fax Number	:	574-389-5559

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

Provider Enumeration Date	:	09/15/2022
Last Update Date	:	06/02/2023

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Directions to “ SARAH HOSINSKI PT” Practice Location

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