Provider Demographics
NPI:1285671818
Name:TALIAFERRO, SARAH SHERROD (DPT)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:SHERROD
Last Name:TALIAFERRO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:1234 OLD CREEK LAKE DR
Mailing Address - Street 2:
Mailing Address - City:TAPPAHANNOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22560
Mailing Address - Country:US
Mailing Address - Phone:804-333-1660
Mailing Address - Fax:804-333-1631
Practice Address - Street 1:6128 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:VA
Practice Address - Zip Code:22572
Practice Address - Country:US
Practice Address - Phone:804-333-1660
Practice Address - Fax:804-333-1631
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA2305006058225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist