Provider Demographics
NPI:1437363074
Name:SCHULTZE, SARAH ANTOINETTE (PT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANTOINETTE
Last Name:SCHULTZE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANTOINETTE
Other - Last Name:SCHULTZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:126 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TOPSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01983-1422
Mailing Address - Country:US
Mailing Address - Phone:978-335-6641
Mailing Address - Fax:
Practice Address - Street 1:6 PERIWINKLE LANE
Practice Address - Street 2:
Practice Address - City:IPSWICH
Practice Address - State:MA
Practice Address - Zip Code:01938-1422
Practice Address - Country:US
Practice Address - Phone:978-335-6641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9552225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist