Provider Demographics
NPI:1508106998
Name:BLOCK, SARAH EILEEN (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:EILEEN
Last Name:BLOCK
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 1:7000 TOWN CENTRE DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BROADVIEW HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44147-4008
Mailing Address - Country:US
Mailing Address - Phone:440-526-8566
Mailing Address - Fax:440-546-8280
Practice Address - Street 1:7000 TOWN CENTRE DR
Practice Address - Street 2:SUITE 400
Practice Address - City:BROADVIEW HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44147-4008
Practice Address - Country:US
Practice Address - Phone:440-526-8566
Practice Address - Fax:440-546-8280
Is Sole Proprietor?:No
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT014137225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist