Provider Demographics
NPI:1952661597
Name:ZABLOUDIL, SARAH M (PTA)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:M
Last Name:ZABLOUDIL
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6060 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 460
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5209
Mailing Address - Country:US
Mailing Address - Phone:972-479-5368
Mailing Address - Fax:888-215-2994
Practice Address - Street 1:6060 N CENTRAL EXPY
Practice Address - Street 2:SUITE 460
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5209
Practice Address - Country:US
Practice Address - Phone:972-479-5368
Practice Address - Fax:888-215-2994
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX2075392225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant