National Provider Identifier

Sara O Bush

Sara O Bush is listed in the NPPES registry with a primary specialty of Physical Therapist in Fairport, NY and a listed phone number of (585) 383-6648.

NPI 1528354123Fairport, NYPhysical Therapist

Profile Overview

NPI
1528354123
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
June 22, 2011
Last Updated
June 22, 2011

Practice Location

  • 41 O'Connor Road
  • Fairport, NY 14450

Phone: (585) 383-6648

Mailing Address

  • 41 O'Connor RD
  • Fairport, NY 14450

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1528354123
Entity Type
Individual
Last Name
Bush
First Name
Sara
Middle Name
O
Mailing Street Address
41 O'Connor RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450
Mailing Country
US
Mailing Phone
(585) 383-6648
Practice Street Address
41 O'Connor Road
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450
Practice Country
US
Practice Phone
(585) 383-6648
Enumeration Date
June 22, 2011
Last Updated
June 22, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)