Provider Demographics
NPI:1114179801
Name:EHRSAM, SARAH NANETTE (ATC)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:NANETTE
Last Name:EHRSAM
Suffix:
Gender:F
Credentials:ATC
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Mailing Address - Street 1:22900 OAK RIDGE DR
Mailing Address - Street 2:APT 145
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-2504
Mailing Address - Country:US
Mailing Address - Phone:661-362-3377
Mailing Address - Fax:661-255-2972
Practice Address - Street 1:26455 ROCKWELL CANYON RD
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91355-1803
Practice Address - Country:US
Practice Address - Phone:661-362-3377
Practice Address - Fax:661-255-2972
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer