Provider Demographics
NPI:1720565880
Name:ATTANASIO, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ATTANASIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 PALESTINE RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-2525
Mailing Address - Country:US
Mailing Address - Phone:203-448-6965
Mailing Address - Fax:
Practice Address - Street 1:18 PALESTINE RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-2525
Practice Address - Country:US
Practice Address - Phone:203-448-6965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer