Provider Demographics
NPI:1326531062
Name:LIMON, SARAH SHOSHANA (DPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:SHOSHANA
Last Name:LIMON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1513 ELMENDORF DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-2420
Mailing Address - Country:US
Mailing Address - Phone:801-558-2247
Mailing Address - Fax:
Practice Address - Street 1:718 K ST STE D
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-3318
Practice Address - Country:US
Practice Address - Phone:907-748-0022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-07
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPT-5537225100000X
UT12894562-2401225100000X
AK135721225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist