Provider Demographics
NPI:1538764196
Name:WHITE, SARAH TURNBULL (DPT)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:TURNBULL
Last Name:WHITE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:EMILY
Other - Last Name:TURNBULL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:136 CEREUS LN
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-3000
Mailing Address - Country:US
Mailing Address - Phone:386-748-6076
Mailing Address - Fax:
Practice Address - Street 1:1050 OCEAN SHORE BLVD
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32176-4126
Practice Address - Country:US
Practice Address - Phone:317-204-3736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT29423225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist