Provider Demographics
NPI:1609003862
Name:ZIELECHOWSKI, SARA (DPT)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:ZIELECHOWSKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:ABUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:30333 SW 152ND PL
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-3613
Mailing Address - Country:US
Mailing Address - Phone:786-374-7070
Mailing Address - Fax:
Practice Address - Street 1:5901 BROKEN SOUND PKWY
Practice Address - Street 2:STE.500
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-2773
Practice Address - Country:US
Practice Address - Phone:561-367-1175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-15
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT21415225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist