Provider Demographics
NPI:1386127496
Name:HEIN, SARAH JANE (PT DPT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:HEIN
Suffix:
Gender:F
Credentials:PT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 SUMMIT CIR
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-6035
Mailing Address - Country:US
Mailing Address - Phone:412-596-6373
Mailing Address - Fax:
Practice Address - Street 1:9724 COMMERCE CENTER CT STE B
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-3608
Practice Address - Country:US
Practice Address - Phone:239-223-0484
Practice Address - Fax:239-790-0969
Is Sole Proprietor?:No
Enumeration Date:2018-09-13
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
FL34102225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist