Provider Demographics
NPI:1487771853
Name:MCCALL, SARAH ROSE (MPT)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ROSE
Last Name:MCCALL
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 STEEPLECHASE DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-9348
Mailing Address - Country:US
Mailing Address - Phone:252-946-4563
Mailing Address - Fax:
Practice Address - Street 1:1375 COWELL FARM RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-3495
Practice Address - Country:US
Practice Address - Phone:252-975-4395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9833225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist