Provider Demographics
NPI:1366199275
Name:MCFANN, SARAH LORHEA (MSATCLAT)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:LORHEA
Last Name:MCFANN
Suffix:
Gender:F
Credentials:MSATCLAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 80
Mailing Address - Street 2:
Mailing Address - City:PEDRO
Mailing Address - State:OH
Mailing Address - Zip Code:45659-0080
Mailing Address - Country:US
Mailing Address - Phone:404-798-5467
Mailing Address - Fax:
Practice Address - Street 1:5063 STATE ROUTE 93
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:OH
Practice Address - Zip Code:45656-9408
Practice Address - Country:US
Practice Address - Phone:740-479-8546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-10
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty