Provider Demographics
NPI:1164022232
Name:HUBER, SARAH J (DPT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:HUBER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 WILLIAMSON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9186
Mailing Address - Country:US
Mailing Address - Phone:704-360-2595
Mailing Address - Fax:704-360-2595
Practice Address - Street 1:508 WILLIAMSON RD STE 200
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9186
Practice Address - Country:US
Practice Address - Phone:704-360-2595
Practice Address - Fax:704-360-2596
Is Sole Proprietor?:No
Enumeration Date:2020-10-28
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP20360225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist