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Individual

SARAH ELIZABETH TOWNSEND-GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008338
CT
225100000X
Physical Therapist
05009070A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000489401
ANTHEM PROVIDER NUMBER
IN
05
200832480
IN
01
9446203
PHCS PID NUMBER
IN
Enumeration date
08/22/2006
Last updated
12/12/2008
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