Provider Demographics
NPI:1710568274
Name:ZEDAR, SARAH JEAN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JEAN
Last Name:ZEDAR
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2096 BETHANY TPKE
Mailing Address - Street 2:
Mailing Address - City:PLEASANT MOUNT
Mailing Address - State:PA
Mailing Address - Zip Code:18453-4508
Mailing Address - Country:US
Mailing Address - Phone:570-862-3865
Mailing Address - Fax:
Practice Address - Street 1:220 N MAIN AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18504-3304
Practice Address - Country:US
Practice Address - Phone:570-904-4142
Practice Address - Fax:570-507-9270
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA022827225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist