Provider Demographics
NPI:1154662831
Name:BOWSER-RAEL, SARAH (DPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BOWSER-RAEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:BOWSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1260 B ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-2955
Mailing Address - Country:US
Mailing Address - Phone:510-247-9971
Mailing Address - Fax:
Practice Address - Street 1:1700 PARK ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-1416
Practice Address - Country:US
Practice Address - Phone:510-521-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-06
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39978225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist