Provider Demographics
NPI:1598446718
Name:SAGARINO, MARIA T (PT, DPT, RAC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:T
Last Name:SAGARINO
Suffix:
Gender:F
Credentials:PT, DPT, RAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 WHITE OWL TRL
Mailing Address - Street 2:
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062-1870
Mailing Address - Country:US
Mailing Address - Phone:973-931-3646
Mailing Address - Fax:
Practice Address - Street 1:121 WHITE OWL TRL
Practice Address - Street 2:
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062-1870
Practice Address - Country:US
Practice Address - Phone:973-931-3646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01178600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist