Individual
SARAH SAMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2751 O'VARSITY WAY, CINCINNATI, OH 45221-0001
(513) 556-3178
Mailing address
5802 FOREST XING, ERIE, PA 16506-7004
(814) 790-2902
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP055070T
OH
225100000X
Physical Therapist
PT033837
PA
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
04/14/2026
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