Provider Demographics
NPI:1932510302
Name:SAFFRAN, SARAH (LAT, PES)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:SAFFRAN
Suffix:
Gender:F
Credentials:LAT, PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8531 VETERANS HWY # 105
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-2651
Mailing Address - Country:US
Mailing Address - Phone:410-987-2162
Mailing Address - Fax:410-987-2975
Practice Address - Street 1:8531 VETERANS HWY # 105
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-2651
Practice Address - Country:US
Practice Address - Phone:410-987-2162
Practice Address - Fax:410-987-2975
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00001262255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer