Provider Demographics
NPI:1245643626
Name:CASTON, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:CASTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3036 CLAIRMONT RD NE
Mailing Address - Street 2:APT D
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-1627
Mailing Address - Country:US
Mailing Address - Phone:412-601-2192
Mailing Address - Fax:
Practice Address - Street 1:3036 CLAIRMONT RD NE
Practice Address - Street 2:APT D
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-1627
Practice Address - Country:US
Practice Address - Phone:412-601-2192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0102882251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology