Provider Demographics
NPI:1285810564
Name:CARELLAS, SARAH S (PT)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:S
Last Name:CARELLAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 ENTWISTLE ST
Mailing Address - Street 2:
Mailing Address - City:WEATHERLY
Mailing Address - State:PA
Mailing Address - Zip Code:18255-1112
Mailing Address - Country:US
Mailing Address - Phone:570-427-8639
Mailing Address - Fax:
Practice Address - Street 1:3003 HAMILTON E
Practice Address - Street 2:BUSINESS ROUTE 209
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-9598
Practice Address - Country:US
Practice Address - Phone:570-992-4007
Practice Address - Fax:570-992-4077
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008362L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist