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NPI Code Detail

MEDICARE: KENDRA SABOL

MEDICARE:   KENDRA  SABOL
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 Therapist2305217653VA
2225100000XPhysical Therapist300601CA

General Provider Information

NPI Number : 1780530220
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA SABOL
Provider Business Mailing Address
First Line : PO BOX 412307
Second Line :
City : BOSTON
State : MA
Zip : 02241-2307
Country : US
Telephone Number : 914-294-4050
Fax Number : 631-760-8306
Provider Business Practice Location Address
First Line : 1628 LASKIN RD STE 706
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-7504
Country : US
Telephone Number : 757-481-0052
Fax Number : 757-481-1099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2026
Last Update Date : 05/06/2026

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Directions to “ KENDRA SABOL ” Practice Location

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