Provider Demographics
NPI:1780994806
Name:MULINARO, SARAH K
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:K
Last Name:MULINARO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 DRESDEN DR APT 10E
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-6312
Mailing Address - Country:US
Mailing Address - Phone:317-292-6206
Mailing Address - Fax:
Practice Address - Street 1:130 DRESDEN DRIVE 10E
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-6312
Practice Address - Country:US
Practice Address - Phone:317-292-6206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06004019A225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant