Provider Demographics
NPI:1205189644
Name:LORDEN, SARAH NORTH (DPT)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:NORTH
Last Name:LORDEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:PAIGE
Other - Last Name:NORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:20195 CORTEZ BLVD.
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-3850
Mailing Address - Country:US
Mailing Address - Phone:352-754-4500
Mailing Address - Fax:352-593-5256
Practice Address - Street 1:3247 COMMERICAL WAY
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-2694
Practice Address - Country:US
Practice Address - Phone:352-683-4551
Practice Address - Fax:352-683-8957
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-23
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6012225100000X
TX1222998225100000X
FLPT30811225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist