Provider Demographics
NPI:1548682305
Name:RIXHAM, SARAH R (PT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:R
Last Name:RIXHAM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:R
Other - Last Name:BURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:658 KENILWORTH DR
Mailing Address - Street 2:STE 100
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2312
Mailing Address - Country:US
Mailing Address - Phone:410-339-4600
Mailing Address - Fax:410-339-4601
Practice Address - Street 1:658 KENILWORTH DR
Practice Address - Street 2:STE 100
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2312
Practice Address - Country:US
Practice Address - Phone:410-339-4600
Practice Address - Fax:410-339-4601
Is Sole Proprietor?:No
Enumeration Date:2014-01-14
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24789225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist