Provider Demographics
NPI:1740558915
Name:BURTCHELL, SARAH JEAN (MS, PT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JEAN
Last Name:BURTCHELL
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 SUNDERLAND DRIVE
Mailing Address - Street 2:AUBURN
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210
Mailing Address - Country:US
Mailing Address - Phone:207-740-6158
Mailing Address - Fax:
Practice Address - Street 1:32 SUNDERLAND DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-9233
Practice Address - Country:US
Practice Address - Phone:207-212-4608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT2680225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist