Provider Demographics
NPI:1790492015
Name:MUSSER, SARAH (DPT)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:MUSSER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 VILLA CORTE DR
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33549-6116
Mailing Address - Country:US
Mailing Address - Phone:813-493-1376
Mailing Address - Fax:
Practice Address - Street 1:5704 POST OAK BLVD
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-4008
Practice Address - Country:US
Practice Address - Phone:813-803-3589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT39565208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation