Provider Demographics
NPI:1740060433
Name:SARAH CESCHIN PT DPT LLC
Entity type:Organization
Organization Name:SARAH CESCHIN PT DPT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:262-914-2307
Mailing Address - Street 1:2595 CANYON BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-6737
Mailing Address - Country:US
Mailing Address - Phone:262-914-2307
Mailing Address - Fax:
Practice Address - Street 1:2595 CANYON BLVD STE 150
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-6737
Practice Address - Country:US
Practice Address - Phone:262-914-2307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy