Provider Demographics
NPI:1265711907
Name:OSTROW, SARA ALIMA (MSPT)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ALIMA
Last Name:OSTROW
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6914 HOLABIRD AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21222-1747
Mailing Address - Country:US
Mailing Address - Phone:410-590-7907
Mailing Address - Fax:410-787-8715
Practice Address - Street 1:8100 SANDPIPER CIR
Practice Address - Street 2:SUITE 106
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-4991
Practice Address - Country:US
Practice Address - Phone:410-933-3737
Practice Address - Fax:410-933-3747
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19719225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist