Individual
SARA MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3310 FALL HILL AVE, FREDERICKSBURG, VA 22401-3000
(540) 479-4777
(540) 710-0061
Mailing address
3310 FALL HILL AVE, FREDERICKSBURG, VA 22401-3000
(540) 479-4777
(540) 710-0061
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604343
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO9813
MEDICARE IDENTIFICATION NUMBER (PTAN)
VA
Enumeration date
02/17/2016
Last updated
02/17/2016
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