Provider Demographics
NPI:1669618666
Name:BRUMMER, SARA MOUNIER (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:MOUNIER
Last Name:BRUMMER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:SARA
Other - Middle Name:ALISON
Other - Last Name:MOUNIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:212 MORGAN AVE
Mailing Address - Street 2:
Mailing Address - City:HADDON TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-1718
Mailing Address - Country:US
Mailing Address - Phone:609-707-5349
Mailing Address - Fax:
Practice Address - Street 1:212 MORGAN AVE
Practice Address - Street 2:
Practice Address - City:HADDON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08108-1718
Practice Address - Country:US
Practice Address - Phone:609-707-5349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-21
Last Update Date:2015-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0163542251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics