Provider Demographics
NPI:1750667978
Name:BOEHRET, SARA ANN (MS, ATC)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:ANN
Last Name:BOEHRET
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1412 HARDING BLVD
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-2931
Mailing Address - Country:US
Mailing Address - Phone:610-272-7379
Mailing Address - Fax:
Practice Address - Street 1:1412 HARDING BLVD
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-2931
Practice Address - Country:US
Practice Address - Phone:610-272-7379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARTO0001092255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer