Provider Demographics
NPI:1790088151
Name:DAVIDSON, SARAH (DPT)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:DAVIDSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:KNAB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:120 W GERMANTOWN PIKE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1420
Mailing Address - Country:US
Mailing Address - Phone:610-270-0370
Mailing Address - Fax:610-270-0374
Practice Address - Street 1:1558 PAOLI PIKE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-6123
Practice Address - Country:US
Practice Address - Phone:484-420-7600
Practice Address - Fax:610-427-2477
Is Sole Proprietor?:No
Enumeration Date:2010-12-07
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0204972251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic