Individual
SARAH A ORESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001631A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000179153
BCBS
IN
01
—
000000609142
BC/BS
IN
01
—
05001631A
LICENSE
IN
05
—
200936050
—
IN
Enumeration date
10/10/2006
Last updated
08/10/2009
Update your record
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