Provider Demographics
NPI:1528504776
Name:LONG, SARAH ANNE (DPT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANNE
Last Name:LONG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5265 SKYTRAIL DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-1566
Mailing Address - Country:US
Mailing Address - Phone:303-525-5422
Mailing Address - Fax:
Practice Address - Street 1:12127 W COOPER DR
Practice Address - Street 2:MILESTONE PEDIATRIC THERAPY SERVICES, INC
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4861
Practice Address - Country:US
Practice Address - Phone:303-525-5422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0014523225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist