Provider Demographics
NPI:1912361353
Name:WILLIAMS, SARAH (PT, DPT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:WILLIAMS
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 1:25620 FRIENDSHIP RD
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-6022
Mailing Address - Country:US
Mailing Address - Phone:251-270-1551
Mailing Address - Fax:251-270-1552
Practice Address - Street 1:25620 FRIENDSHIP RD
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-6022
Practice Address - Country:US
Practice Address - Phone:251-270-1551
Practice Address - Fax:251-270-1552
Is Sole Proprietor?:No
Enumeration Date:2016-04-12
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSAT06012255A2300X
ALPTH10964225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
200005977OtherBOC CERTIFIED ATHLETIC TRAINER