Individual
SARA KALYN CROKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1350
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11145
SC
2251P0200X
Pediatric Physical Therapist
11145
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
02/17/2022
Last updated
03/25/2022
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