Provider Demographics
NPI:1174956189
Name:TRAVAGLIANTE, SARA JEANNETTE (DPT)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:JEANNETTE
Last Name:TRAVAGLIANTE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4670 RICHMOND RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44128-6410
Mailing Address - Country:US
Mailing Address - Phone:216-387-9390
Mailing Address - Fax:216-378-1735
Practice Address - Street 1:4670 RICHMOND RD
Practice Address - Street 2:SUITE 250
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44128-6410
Practice Address - Country:US
Practice Address - Phone:216-387-9390
Practice Address - Fax:216-378-1735
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT.014448225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist