Provider Demographics
NPI:1861865412
Name:CYR, SARA KATHERINE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:KATHERINE
Last Name:CYR
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 BATH RD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2651
Mailing Address - Country:US
Mailing Address - Phone:207-729-2925
Mailing Address - Fax:207-729-2924
Practice Address - Street 1:310 BATH RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2651
Practice Address - Country:US
Practice Address - Phone:207-729-2925
Practice Address - Fax:207-729-2924
Is Sole Proprietor?:No
Enumeration Date:2015-11-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME679225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist