Provider Demographics
NPI:1720627334
Name:PALATNIK, SARA ANNE (MT-BC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ANNE
Last Name:PALATNIK
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CHERRY TREE LN
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1004
Mailing Address - Country:US
Mailing Address - Phone:856-904-4693
Mailing Address - Fax:
Practice Address - Street 1:8 CHERRY TREE LN
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-1004
Practice Address - Country:US
Practice Address - Phone:856-904-4693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-30
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist