Provider Demographics
NPI:1538622923
Name:DEMPSEY, SARAH JANE (PTA)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:JANE
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 E LAKE ST
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48888-8972
Mailing Address - Country:US
Mailing Address - Phone:989-287-3579
Mailing Address - Fax:
Practice Address - Street 1:4735 W RANGER RD
Practice Address - Street 2:
Practice Address - City:PERRINTON
Practice Address - State:MI
Practice Address - Zip Code:48871-9775
Practice Address - Country:US
Practice Address - Phone:989-236-5433
Practice Address - Fax:989-236-7672
Is Sole Proprietor?:No
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5502005282208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation