Provider Demographics
NPI:1013250067
Name:BLANCHARD, SARAH ELIZABETH (PT, DPT, OCS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ELIZABETH
Last Name:BLANCHARD
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:GROSCHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, OCS
Mailing Address - Street 1:407 E. CHURCHVILLE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014
Mailing Address - Country:US
Mailing Address - Phone:410-638-5525
Mailing Address - Fax:410-638-5558
Practice Address - Street 1:8640 RIDGELYS CHOICE DRVIE
Practice Address - Street 2:SUITE L-1
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21236
Practice Address - Country:US
Practice Address - Phone:410-529-0989
Practice Address - Fax:410-529-0993
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24413225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist