Provider Demographics
NPI:1508205774
Name:THABET, SARAH A (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:A
Last Name:THABET
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:A
Other - Last Name:PATI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:389 FORT SALONGA RD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-3044
Mailing Address - Country:US
Mailing Address - Phone:631-261-0444
Mailing Address - Fax:631-261-3112
Practice Address - Street 1:389 FORT SALONGA RD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-3044
Practice Address - Country:US
Practice Address - Phone:631-261-0444
Practice Address - Fax:631-261-3112
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-20
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist