Provider Demographics
NPI:1700498854
Name:GARAY, SARAH (LMT, EST)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:GARAY
Suffix:
Gender:F
Credentials:LMT, EST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1296 HOWLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32738-9737
Mailing Address - Country:US
Mailing Address - Phone:386-402-1100
Mailing Address - Fax:
Practice Address - Street 1:1296 HOWLAND BLVD
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32738-9737
Practice Address - Country:US
Practice Address - Phone:386-402-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA58311225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist