Provider Demographics
NPI:1235714981
Name:BRITT, SARA JACKSON (PTA, CDP)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:JACKSON
Last Name:BRITT
Suffix:
Gender:F
Credentials:PTA, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7281 LONG RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PINETOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27865-9668
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7281 LONG RIDGE RD
Practice Address - Street 2:
Practice Address - City:PINETOWN
Practice Address - State:NC
Practice Address - Zip Code:27865-9668
Practice Address - Country:US
Practice Address - Phone:252-217-5638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant