Provider Demographics
NPI:1588690937
Name:SANBORN, PEARLAS A (PT)
Entity type:Individual
Prefix:
First Name:PEARLAS
Middle Name:A
Last Name:SANBORN
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 1:5111 N 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-8918
Mailing Address - Country:US
Mailing Address - Phone:850-741-3310
Mailing Address - Fax:833-740-4325
Practice Address - Street 1:5111 N 12TH AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8918
Practice Address - Country:US
Practice Address - Phone:850-741-3310
Practice Address - Fax:833-740-4325
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT19886225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist