Provider Demographics
NPI:1568639425
Name:BARR, SARAH MABE JANNEY (DPT)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MABE JANNEY
Last Name:BARR
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 1:1715 BRADFORD CT
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-6897
Mailing Address - Country:US
Mailing Address - Phone:336-264-3640
Mailing Address - Fax:
Practice Address - Street 1:1715 BRADFORD CT
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-6897
Practice Address - Country:US
Practice Address - Phone:336-264-3640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-09
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP116122251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics