Johnsen, Sarah

Johnsen, Sarah is an individual health care provider with primary practice located at 100 Lindsey Ln B, Kingsland GA 31548-6850. 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. Johnsen, Sarah can be contacted via phone (912) 510-6104.

Contact Information

Primary practice address
100 Lindsey Ln B Kingsland GA 31548-6850
Phone: (912) 510-6104
Fax: (912) 882-6137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT006676 Georgia

Profile Details

NPI number 1487651659
LBN Legal business name Johnsen, Sarah
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2005
Last updated Apr 13th, 2021 - about 4 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 1487651659 NPPES
Georgia MEDICAID 000967194F
Georgia MEDICAID 887932000

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