Individual
MISS SARAH ELIZABETH SCARBOROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
95 JOHN MUIR DR, BUFFALO, NY 14228-1144
(716) 250-4137
Mailing address
95 JOHN MUIR DR, BUFFALO, NY 14228-1144
(716) 250-4137
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010168-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010168-1
NY STATE PTA LICENSE
NY
Enumeration date
01/11/2016
Last updated
01/11/2016
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