Individual
MRS. SARA CRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-5783
Mailing address
10 TRAIL OAKS DR, SAINT PETERS, MO 63376-1872
(636) 373-4780
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2003022704
MO
225100000X
Physical Therapist
297780
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003022704
PT LICENSE
MO
01
—
297780
CAPT BOARD - PT LICENSE
CA
Enumeration date
12/05/2019
Last updated
12/05/2019
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