Provider Demographics
NPI:1770023681
Name:CHOE, SARA S (DPT)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:S
Last Name:CHOE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1139 RARITAN RD STE 202
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-1344
Mailing Address - Country:US
Mailing Address - Phone:732-388-1761
Mailing Address - Fax:908-583-1037
Practice Address - Street 1:1139 RARITAN RD STE 202
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1344
Practice Address - Country:US
Practice Address - Phone:732-388-1761
Practice Address - Fax:908-583-1037
Is Sole Proprietor?:No
Enumeration Date:2017-02-27
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01715600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist