Provider Demographics
NPI:1376360677
Name:KALBFELL, SARAH JARABE
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JARABE
Last Name:KALBFELL
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 1:19205 WHITNEY AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-1727
Mailing Address - Country:US
Mailing Address - Phone:727-798-8449
Mailing Address - Fax:
Practice Address - Street 1:4008 LITTLE RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-1719
Practice Address - Country:US
Practice Address - Phone:727-564-9938
Practice Address - Fax:727-565-1431
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA29851225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant