Provider Demographics
NPI:1700360153
Name:HUTCHINSON, SABRINA CHABOT
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:CHABOT
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:
Other - Last Name:CHABOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:508 WILLIAMSON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9186
Mailing Address - Country:US
Mailing Address - Phone:704-360-2595
Mailing Address - Fax:
Practice Address - Street 1:508 WILLIAMSON RD
Practice Address - Street 2:SUITE 200
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117
Practice Address - Country:US
Practice Address - Phone:704-360-2595
Practice Address - Fax:704-360-2596
Is Sole Proprietor?:No
Enumeration Date:2018-09-21
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP17327225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist