Provider Demographics
NPI:1902410483
Name:JOURDIN, SARAH B (PT)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:B
Last Name:JOURDIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-1628
Mailing Address - Country:US
Mailing Address - Phone:415-974-6784
Mailing Address - Fax:415-974-6785
Practice Address - Street 1:930 4TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158-1628
Practice Address - Country:US
Practice Address - Phone:415-974-6784
Practice Address - Fax:415-974-6785
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15295225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist