Provider Demographics
NPI:1902853716
Name:SABINE PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:SABINE PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:SABINE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:732-299-9619
Mailing Address - Street 1:35 OLIVIA WAY
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-4269
Mailing Address - Country:US
Mailing Address - Phone:732-299-9619
Mailing Address - Fax:732-833-4888
Practice Address - Street 1:35 OLIVIA WAY
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-4269
Practice Address - Country:US
Practice Address - Phone:732-299-9619
Practice Address - Fax:732-833-4888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00527600174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty