Basic Information
Provider Information
NPI: 1003399734
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROWLAND
FirstName: SARAH
MiddleName: HALL
NamePrefix: DR.
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: HALL
OtherFirstName: SARAH
OtherMiddleName: MARGARET
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: DPT
OtherLastNameType: 1
Mailing Information
Address1: 6670 JOCELYN HOLLOW RD
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372053953
CountryCode: US
TelephoneNumber: 9016523795
FaxNumber:  
Practice Location
Address1: 812 N CHARLOTTE ST
Address2:  
City: DICKSON
State: TN
PostalCode: 370551009
CountryCode: US
TelephoneNumber: 6154468046
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/10/2018
LastUpdateDate: 09/10/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X11337TNY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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