Provider Demographics
NPI:1689123747
Name:LYNCH, SARAH MARTEE ALMIS (RPT)
Entity Type:Individual
Prefix:
First Name:SARAH MARTEE
Middle Name:ALMIS
Last Name:LYNCH
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:SARAH MARTEE
Other - Middle Name:MADRID
Other - Last Name:ALMIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPT
Mailing Address - Street 1:16542 CORNER LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32820-1958
Mailing Address - Country:US
Mailing Address - Phone:352-293-5511
Mailing Address - Fax:
Practice Address - Street 1:16542 CORNER LAKE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32820-1958
Practice Address - Country:US
Practice Address - Phone:352-293-5511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-29
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT23583225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist