Provider Demographics
NPI:1215480553
Name:ISDANER, SARAH MARIE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MARIE
Last Name:ISDANER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:MARIE
Other - Last Name:LANDERHOLM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1354 HORNBLEND ST
Mailing Address - Street 2:APT B
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-9200
Mailing Address - Country:US
Mailing Address - Phone:425-760-2930
Mailing Address - Fax:
Practice Address - Street 1:530 LOMAS SANTA FE DR STE G
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1346
Practice Address - Country:US
Practice Address - Phone:858-755-6024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-03
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA291622225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist