Provider Demographics
NPI:1801425681
Name:MCCOLLISTER, SARAH (DPT, PT, OCS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MCCOLLISTER
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Gender:
Credentials:DPT, PT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4810 BLUFFTON PKWY STE 102
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-4602
Mailing Address - Country:US
Mailing Address - Phone:843-837-5236
Mailing Address - Fax:843-837-1004
Practice Address - Street 1:4810 BLUFFTON PKWY STE 102
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-4602
Practice Address - Country:US
Practice Address - Phone:843-837-5236
Practice Address - Fax:843-837-1004
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR60172251X0800X
SCCP043294T2251X0800X
CA3073142251X0800X
NV65632251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic