Provider Demographics
NPI:1225219546
Name:WEISNER, SARA ELIZABETH (PT, DPT, LAT, ATC)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:ELIZABETH
Last Name:WEISNER
Suffix:
Gender:F
Credentials:PT, DPT, LAT, ATC
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:ELIZABETH
Other - Last Name:CHARNESKIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT,DPT,LAT,ATC
Mailing Address - Street 1:1100 BLYTHE BLVD
Mailing Address - Street 2:OUTPATIENT THERAPY DEPARTMENT
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5814
Mailing Address - Country:US
Mailing Address - Phone:704-355-4347
Mailing Address - Fax:704-355-4333
Practice Address - Street 1:1100 BLYTHE BLVD
Practice Address - Street 2:OUTPATIENT THERAPY DEPARTMENT
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5814
Practice Address - Country:US
Practice Address - Phone:704-355-4347
Practice Address - Fax:704-355-4333
Is Sole Proprietor?:No
Enumeration Date:2007-11-15
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC113542251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic