Provider Demographics
NPI:1124143862
Name:HOLBROOK, SARA BETH (MSPT)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:BETH
Last Name:HOLBROOK
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 DANIELLE LN
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-2788
Mailing Address - Country:US
Mailing Address - Phone:610-384-3370
Mailing Address - Fax:
Practice Address - Street 1:3120 HORSESHOE PIKE
Practice Address - Street 2:
Practice Address - City:HONEY BROOK
Practice Address - State:PA
Practice Address - Zip Code:19344-8666
Practice Address - Country:US
Practice Address - Phone:610-273-2915
Practice Address - Fax:610-273-3851
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT011295L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist