Individual
MRS. SARA JINANE STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1100 JOLIET ST, STE 105, DYER, IN 46311-1996
(219) 864-3300
(219) 864-2567
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007009A
IN
Other
Enumeration date
07/27/2006
Last updated
05/31/2016
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