Provider Demographics
NPI:1245783703
Name:HOLLAND, SARAH ROBERTS (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ROBERTS
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:CAITLIN
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:6397 LEE HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-4915
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-362-8684
Practice Address - Street 1:3451 ERNEST W BARRETT PKWY NW
Practice Address - Street 2:STE 170
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-5034
Practice Address - Country:US
Practice Address - Phone:770-422-5078
Practice Address - Fax:770-427-0688
Is Sole Proprietor?:No
Enumeration Date:2016-08-01
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT012520225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist