Provider Demographics
NPI:1619410925
Name:KELBER, SARAH MARGARET (DOCTORATE)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MARGARET
Last Name:KELBER
Suffix:
Gender:F
Credentials:DOCTORATE
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MARGARET
Other - Last Name:KEENAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2 BAILEY CT
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-4459
Mailing Address - Country:US
Mailing Address - Phone:732-598-6636
Mailing Address - Fax:
Practice Address - Street 1:2 BAILEY CT
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-4459
Practice Address - Country:US
Practice Address - Phone:732-598-6636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-18
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA015886002251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics