Provider Demographics
NPI:1336161256
Name:COLLINS, SARAH ABBOTT (DPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ABBOTT
Last Name:COLLINS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 FAIRMOUNT ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607
Mailing Address - Country:US
Mailing Address - Phone:860-921-7415
Mailing Address - Fax:
Practice Address - Street 1:1150 UNIVERSITY AVE
Practice Address - Street 2:STE 3
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1647
Practice Address - Country:US
Practice Address - Phone:585-482-5060
Practice Address - Fax:585-482-7982
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0278957225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist