Provider Demographics
NPI:1942633110
Name:COULOMBE, SARAH MARIE (DPT)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:MARIE
Last Name:COULOMBE
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 1:91A NORTH STATE ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-4334
Mailing Address - Country:US
Mailing Address - Phone:603-724-2297
Mailing Address - Fax:603-369-3017
Practice Address - Street 1:13 RED ROOF LN
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2983
Practice Address - Country:US
Practice Address - Phone:603-898-9947
Practice Address - Fax:603-898-9949
Is Sole Proprietor?:No
Enumeration Date:2013-08-12
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3818225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist