Individual
SARAH SCUDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
215 RADIO DR STE 100, WOODBURY, MN 55125-5817
(612) 596-6100
Mailing address
215 RADIO DR STE 100, WOODBURY, MN 55125-5817
(612) 596-6100
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
8841
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362193608
—
MN
Enumeration date
09/28/2018
Last updated
11/20/2020
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