Provider Demographics
NPI:1134280548
Name:BROWNLEE, SARA MONIQUE (DPT)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:MONIQUE
Last Name:BROWNLEE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 HWY 236 W
Mailing Address - Street 2:
Mailing Address - City:LONOKE
Mailing Address - State:AR
Mailing Address - Zip Code:72086
Mailing Address - Country:US
Mailing Address - Phone:501-676-8566
Mailing Address - Fax:
Practice Address - Street 1:4216 E MCCAIN BLVD
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2515
Practice Address - Country:US
Practice Address - Phone:501-687-0328
Practice Address - Fax:501-687-0330
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT1055225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5T799OtherBCBS
AR133346721Medicaid
AR7108572485OtherQUAL CHOICE
AR7891261OtherAETNA
AR670001880OtherPALMETTO RAILROAD MCARE
AR133346721Medicaid
AR7108572485OtherQUAL CHOICE