Provider Demographics
NPI:1922231497
Name:OVERTON, SARAH EVES (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:EVES
Last Name:OVERTON
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 1:7901 HAYES RD
Mailing Address - Street 2:
Mailing Address - City:LORRAINE
Mailing Address - State:NY
Mailing Address - Zip Code:13659-3123
Mailing Address - Country:US
Mailing Address - Phone:315-486-1305
Mailing Address - Fax:
Practice Address - Street 1:420 GAFFNEY DR
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-1823
Practice Address - Country:US
Practice Address - Phone:315-788-2730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-31
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0318002251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics