Provider Demographics
NPI:1245367333
Name:SANNER, SARA RENEE (MPT)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:RENEE
Last Name:SANNER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3303 S SEMORAN BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-2500
Mailing Address - Country:US
Mailing Address - Phone:407-281-0228
Mailing Address - Fax:407-281-0229
Practice Address - Street 1:3303 S SEMORAN BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-2500
Practice Address - Country:US
Practice Address - Phone:407-281-0228
Practice Address - Fax:407-281-0229
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL19942225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist