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NPI Code Detail

MEDICARE: SARAH JOY PRICE

MEDICARE: SARAH JOY PRICE
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
1208100000XPhysical Medicine & Rehabilitation Physician5502003960MI

General Provider Information

NPI Number : 1740838283
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH JOY PRICE
Provider Business Mailing Address
First Line : 5265 AMY DR
Second Line :
City : COLOMA
State : MI
Zip : 49038-9780
Country : US
Telephone Number : 269-277-7005
Fax Number :
Provider Business Practice Location Address
First Line : 3905 LORRAINE PATH
Second Line :
City : SAINT JOSEPH
State : MI
Zip : 49085-8630
Country : US
Telephone Number : 269-277-7005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2019
Last Update Date : 08/28/2019

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Directions to “ SARAH JOY PRICE ” Practice Location

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