Individual
SARA DESMARAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2760 TRICOM ST, NORTH CHARLESTON, SC 29406
(843) 300-8585
Mailing address
9047 MAPLE GROVE DR, SUMMERVILLE, SC 29485-8889
(513) 884-0479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10393
SC
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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