National Provider Identifier
Jacqueline Marie Sage, PT
Jacqueline Marie Sage, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Lockport, NY and a listed phone number of (716) 434-6324.
Profile Overview
- NPI
- 1215180500
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- October 30, 2008
- Last Updated
- October 30, 2008
Practice Location
- 104 Old Niagara RD
- Lockport, NY 14094-1500
Phone: (716) 434-6324
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1215180500
- Entity Type
- Individual
- Last Name
- Sage
- First Name
- Jacqueline
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- PT
- Mailing Street Address
- 104 Old Niagara RD
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-1500
- Mailing Country
- US
- Mailing Phone
- (716) 434-6324
- Mailing Fax
- (716) 434-6512
- Practice Street Address
- 104 Old Niagara RD
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-1500
- Practice Country
- US
- Practice Phone
- (716) 434-6324
- Practice Fax
- (716) 434-6512
- Enumeration Date
- October 30, 2008
- Last Updated
- October 30, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)