Provider Demographics
NPI:1295132876
Name:WACHTEL, SARAH MARIE BUSENTIZ (DPT, PT, OCS)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MARIE BUSENTIZ
Last Name:WACHTEL
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Gender:F
Credentials:DPT, PT, OCS
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Mailing Address - Street 1:6455 MACHINE ST.
Mailing Address - Street 2:BUILDING 2501
Mailing Address - City:ABERDEEN PROVING GROUND
Mailing Address - State:MD
Mailing Address - Zip Code:21005
Mailing Address - Country:US
Mailing Address - Phone:410-278-9990
Mailing Address - Fax:877-811-2184
Practice Address - Street 1:6455 MACHINE S
Practice Address - Street 2:BUILDING 2501
Practice Address - City:ABERDEEN PROVING GROUND
Practice Address - State:MD
Practice Address - Zip Code:21005-2100
Practice Address - Country:US
Practice Address - Phone:410-278-9990
Practice Address - Fax:877-811-2184
Is Sole Proprietor?:No
Enumeration Date:2014-11-26
Last Update Date:2023-09-08
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Provider Licenses
StateLicense IDTaxonomies
MD253242251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic