Provider Demographics
NPI:1699173344
Name:BARD, SARAH (MS, LAT, ATC, CES)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BARD
Suffix:
Gender:F
Credentials:MS, LAT, ATC, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SEVEN VALLEYS
Mailing Address - State:PA
Mailing Address - Zip Code:17360-9394
Mailing Address - Country:US
Mailing Address - Phone:717-395-1301
Mailing Address - Fax:
Practice Address - Street 1:302B FRIENDSHIP AVE
Practice Address - Street 2:
Practice Address - City:HELLAM
Practice Address - State:PA
Practice Address - Zip Code:17406-9402
Practice Address - Country:US
Practice Address - Phone:717-395-1301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-11
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0055622255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer