Individual
SARA VIRGINIA FORTUNATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, CLT, LMT
Contact information
Practice address
115 S PROVIDENCE RD, WALLINGFORD, PA 19086-6333
(610) 565-3232
Mailing address
461 WYNDOM TER, HOLMES, PA 19043-1126
(610) 324-6140
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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