Provider Demographics
NPI:1245031079
Name:ANDERSON, SARAH (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:
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 1:2203 S TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-5016
Mailing Address - Country:US
Mailing Address - Phone:941-408-0670
Mailing Address - Fax:941-408-0160
Practice Address - Street 1:2203 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-5016
Practice Address - Country:US
Practice Address - Phone:941-408-0670
Practice Address - Fax:941-408-0160
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist