Provider Demographics
NPI:1366458150
Name:TALLEY, SARAH P (PT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:P
Last Name:TALLEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:L
Other - Last Name:PINNEO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:4505 FAIR MEADOW LANE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607
Mailing Address - Country:US
Mailing Address - Phone:919-571-9912
Mailing Address - Fax:919-571-8776
Practice Address - Street 1:4505 FAIR MEADOW LANE
Practice Address - Street 2:SUITE 110
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607
Practice Address - Country:US
Practice Address - Phone:919-571-9912
Practice Address - Fax:919-571-8776
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9450225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist