Provider Demographics
NPI:1669521951
Name:DIMON, SARAH C (PT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:C
Last Name:DIMON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4451 N 26TH ST
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-4142
Mailing Address - Country:US
Mailing Address - Phone:402-476-2600
Mailing Address - Fax:402-476-2604
Practice Address - Street 1:1501 PINE LAKE RD
Practice Address - Street 2:SUITE 20
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-3636
Practice Address - Country:US
Practice Address - Phone:402-421-2700
Practice Address - Fax:402-421-2699
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE1742225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE273232Medicare ID - Type Unspecified