# DR. SARA C REARDON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245425990
- **Gender:** F
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 09734R | LA | Yes |
| 225100000X | Physical Therapist | 1177980 | TX | — |

## Other

- **Enumeration date:** 09/06/2007
- **Last updated:** 02/26/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1245425990 | — | TX |