Provider Demographics
NPI:1194330894
Name:BIERLY, SARAH ISABEL
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ISABEL
Last Name:BIERLY
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 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:188 BOSTON RD UNIT B
Practice Address - Street 2:
Practice Address - City:N BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01862-2309
Practice Address - Country:US
Practice Address - Phone:978-901-3513
Practice Address - Fax:978-731-0982
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25206225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist