Provider Demographics
NPI:1669167409
Name:KRAMER, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KRAMER
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 1:13401 SUTTON PARK DR S APT 221
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-5267
Mailing Address - Country:US
Mailing Address - Phone:908-451-9328
Mailing Address - Fax:
Practice Address - Street 1:BROOKS REHABILITATION OUTPATIENT CLINIC- ORANGE PARK
Practice Address - Street 2:500 PARK AVE
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073
Practice Address - Country:US
Practice Address - Phone:904-278-7890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist