Graham, Sarah Jo

Graham, Sarah Jo is an individual health care provider with primary practice located at 457 S Fitness Pl Suite 100, Eagle ID 83616-6568. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Graham, Sarah Jo can be contacted via phone (208) 939-3332.

Contact Information

Primary practice address
457 S Fitness Pl Suite 100 Eagle ID 83616-6568
Phone: (208) 939-3332
Fax: (208) 939-3338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X RPT-1804 Idaho

Profile Details

NPI number 1386758464
LBN Legal business name Graham, Sarah Jo
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386758464 NPPES
Idaho Other 000010144132 HEALTHSENSE 65/ MED ADVAN
Idaho Other 11347662 HEALTHSENSE 65/ MED ADVAN
Idaho Other T7697 HEALTHSENSE 65/ MED ADVAN
Idaho Other T7697 HEALTHSENSE 65/ MED ADVAN
Idaho Other 000010144132 HEALTHSENSE 65/ MED ADVAN
Idaho MEDICAID 806671700 HEALTHSENSE 65/ MED ADVAN
Idaho Other T7697 HEALTHSENSE 65/ MED ADVAN

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