Individual
SARAH JANE SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4532 HICKORY RD APT 2B, MISHAWAKA, IN 46545-2415
(269) 845-2018
Mailing address
4532 HICKORY RD APT 2B, MISHAWAKA, IN 46545-2415
(269) 845-2018
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002363
MI
Other
Enumeration date
03/07/2021
Last updated
03/07/2021
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