Provider Demographics
NPI:1891196036
Name:CAFFEY, SARAH ANNE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANNE
Last Name:CAFFEY
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 1:1360 BLAIR DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-1343
Mailing Address - Country:US
Mailing Address - Phone:410-672-8970
Mailing Address - Fax:410-672-8973
Practice Address - Street 1:1360 BLAIR DR
Practice Address - Street 2:SUITE D
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-1343
Practice Address - Country:US
Practice Address - Phone:410-672-8970
Practice Address - Fax:410-672-8973
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25104225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist