Provider Demographics
NPI:1962662551
Name:TALBOT, SARAH CATHERINE (DPT)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:CATHERINE
Last Name:TALBOT
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 1:205 TIMBER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CAMILLUS
Mailing Address - State:NY
Mailing Address - Zip Code:13031-8610
Mailing Address - Country:US
Mailing Address - Phone:617-823-6823
Mailing Address - Fax:
Practice Address - Street 1:314 EAST FIRST STREET
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-2927
Practice Address - Country:US
Practice Address - Phone:315-439-8840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033356225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist