Provider Demographics
NPI:1114310521
Name:ROSINSKI, SARAH (PT, MPT)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:ROSINSKI
Suffix:
Gender:F
Credentials:PT, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 SOMERBY DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-3490
Mailing Address - Country:US
Mailing Address - Phone:800-603-6046
Mailing Address - Fax:
Practice Address - Street 1:1300 SOUTHAMPTON RD
Practice Address - Street 2:APT 180
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-1735
Practice Address - Country:US
Practice Address - Phone:630-825-5275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-09
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42296225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist