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NPI Code Detail

MEDICARE: MRS. SARA E MINTZ MSPT

MEDICARE: MRS. SARA E MINTZ MSPT
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
12251P0200XPediatric Physical Therapist029999-1NY
2225100000XPhysical Therapist7389SC

General Provider Information

NPI Number : 1841456571
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARA E MINTZ MSPT
Provider Business Mailing Address
First Line : 460 WILLIAM HILTON PKWY
Second Line :
City : HILTON HEAD ISLAND
State : SC
Zip : 29926-2497
Country : US
Telephone Number : 843-738-4800
Fax Number :
Provider Business Practice Location Address
First Line : 460 WILLIAM HILTON PKWY
Second Line :
City : HILTON HEAD ISLAND
State : SC
Zip : 29926-2497
Country : US
Telephone Number : 843-738-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2008
Last Update Date : 06/09/2023

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Directions to “ MRS. SARA E MINTZ MSPT” Practice Location

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