Provider Demographics
NPI:1770762114
Name:MAPILI, SARAH JEAN (PT)
Entity type:Individual
Prefix:
First Name:SARAH JEAN
Middle Name:
Last Name:MAPILI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:35450 DEQUINDRE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-4810
Mailing Address - Country:US
Mailing Address - Phone:866-335-3255
Mailing Address - Fax:586-601-2500
Practice Address - Street 1:35450 DEQUINDRE RD STE 104
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310
Practice Address - Country:US
Practice Address - Phone:866-335-3255
Practice Address - Fax:586-601-2500
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501011644208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation