Provider Demographics
NPI:1649879263
Name:CITRO, SARAH E (PT, DPT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:CITRO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 ROUTE 34 STE 24-25
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-1903
Mailing Address - Country:US
Mailing Address - Phone:732-970-7882
Mailing Address - Fax:732-970-7883
Practice Address - Street 1:1212 ROUTE 34 STE 24-25
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NJ
Practice Address - Zip Code:07747-1903
Practice Address - Country:US
Practice Address - Phone:732-970-7882
Practice Address - Fax:732-970-7883
Is Sole Proprietor?:No
Enumeration Date:2020-10-24
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01947600208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation