Provider Demographics
NPI:1568184364
Name:BROWN, SARAH GRACE (DPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:GRACE
Last Name:BROWN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 W HUDSON RD STE 3
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-2181
Mailing Address - Country:US
Mailing Address - Phone:479-340-1100
Mailing Address - Fax:844-317-0394
Practice Address - Street 1:2100 W HUDSON RD STE 3
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-2181
Practice Address - Country:US
Practice Address - Phone:479-340-1100
Practice Address - Fax:844-317-0394
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT5183225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist