Individual
SARAH PRIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 HOPE AVE, WALTHAM, MA 02453-2765
(781) 216-3670
Mailing address
9 HOPE AVE, WALTHAM, MA 02453-2765
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
18874
MA
2251P0200X
Pediatric Physical Therapist
3516
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710087127
—
MA
Enumeration date
10/24/2012
Last updated
10/24/2012
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