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Individual
SARAH JO HAAG
Active
Individual
SARAH JO HAAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, WCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014223
IL
2251X0800X
Orthopedic Physical Therapist
1146559
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070014223
PT LICENSE
IL
01
—
1146559
PT LICENSE
TX
Enumeration date
12/12/2006
Last updated
12/28/2012
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