Provider Demographics
NPI:1750331583
Name:SABINE, JOAN GARDLER (PT)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:GARDLER
Last Name:SABINE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 OLIVIA WAY
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-4269
Mailing Address - Country:US
Mailing Address - Phone:732-299-9619
Mailing Address - Fax:732-833-4888
Practice Address - Street 1:35 OLIVIA WAY
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-4269
Practice Address - Country:US
Practice Address - Phone:732-299-9619
Practice Address - Fax:732-833-4888
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00527600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist