Provider Demographics
NPI:1437350956
Name:WILLETTE, SARAH E
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:E
Last Name:WILLETTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 ROSEDALE AVE
Mailing Address - Street 2:BELLEFONTE
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809-2649
Mailing Address - Country:US
Mailing Address - Phone:302-650-0763
Mailing Address - Fax:
Practice Address - Street 1:706 ROSEDALE AVE
Practice Address - Street 2:BELLEFONTE
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19809-2649
Practice Address - Country:US
Practice Address - Phone:302-650-0763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist