Individual
SARAH A FATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
63031 LAYTON AVE, BEND, OR 97701-8240
(541) 706-7796
Mailing address
PO BOX 6095, BEND, OR 97708-6095
(541) 706-7796
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04410
OR
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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