Provider Demographics
NPI:1407522139
Name:CROCKER, SARAH NICOLE TOY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:NICOLE TOY
Last Name:CROCKER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 27TH ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-7308
Mailing Address - Country:US
Mailing Address - Phone:916-716-5682
Mailing Address - Fax:
Practice Address - Street 1:1920 27TH ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7308
Practice Address - Country:US
Practice Address - Phone:916-716-5682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-22
Last Update Date:2021-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist