Provider Demographics
NPI:1295917854
Name:KRESS, SABRA M
Entity type:Individual
Prefix:
First Name:SABRA
Middle Name:M
Last Name:KRESS
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 1:9 DEVONSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2434
Mailing Address - Country:US
Mailing Address - Phone:336-870-6493
Mailing Address - Fax:
Practice Address - Street 1:2998 ALAMANCE RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-7378
Practice Address - Country:US
Practice Address - Phone:336-553-6731
Practice Address - Fax:888-671-1333
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP12145225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30396327Medicaid
NH30396327Medicaid