Mrs. Sarah Marie Nicolarsen
Physical Therapist - Pediatrics
5121 S Kimbark Ave #3w
Chicago
, Illinois 60615-3988
Mrs. Sarah Marie Nicolarsen
Physical Therapist - Pediatrics
5121 S Kimbark Ave #3w
Chicago
, Illinois 60615-3988
(773) 484-0427
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Sarah Marie Nicolarsen
- 5121 S. Kimbark Ave. #3w
- Chicago, IL
- Zip : 60615-3752
- Phone : (773) 484-0427
Second Address
- Mrs. Sarah Marie Nicolarsen
- 5121 S Kimbark Ave #3w
- Chicago, IL
- Zip : 60615-3988
- Phone : (773) 484-0427
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 070.014657 | IL |
National Provider Identifier
| NPI | 1023160629 |
|---|---|
| Provider Name | Mrs. Sarah Marie Nicolarsen |
| First Address | Chicago, IL 60615-3752 |
| Second Address | Chicago, IL 60615-3988 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/01/2007 |
| Last Update Date | 14/09/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.