Provider Demographics
NPI:1912089376
Name:LEWIS, SARAH MINKEL (PT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MINKEL
Last Name:LEWIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:KATHERINE
Other - Last Name:MINKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:106 MILFORD ST STE 601
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-6938
Mailing Address - Country:US
Mailing Address - Phone:410-548-7600
Mailing Address - Fax:410-548-2651
Practice Address - Street 1:106 MILFORD ST STE 601
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-6938
Practice Address - Country:US
Practice Address - Phone:410-548-7600
Practice Address - Fax:410-548-2651
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2014-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204463225100000X
MN7363225100000X
MD23552225100000X
DEJ1-0002674225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist