Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 25181 | MD |
NPI | 1003197989 |
---|---|
Provider Name | Dr. Sarah Nadine Sakal |
First Address | Severna Park, MD 21146-3956 |
Second Address | Severna Park, MD 21146-3956 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2011 |
Last Update Date | 17/03/2018 |