Provider Demographics
NPI:1194749572
Name:MORRISON, SARA SANTINA (PT)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:SANTINA
Last Name:MORRISON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:SARA
Other - Middle Name:SANTINA
Other - Last Name:MUTO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:701 RUDY DRIVE
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520
Mailing Address - Country:US
Mailing Address - Phone:919-277-0919
Mailing Address - Fax:
Practice Address - Street 1:22 THE SQUARE AT LILLINGTON
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-8030
Practice Address - Country:US
Practice Address - Phone:910-893-2850
Practice Address - Fax:888-867-7402
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCND9146225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist