Provider Demographics
NPI:1770463085
Name:DICUS, SABRINA SEARE (DPT)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:SEARE
Last Name:DICUS
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 1:2210 JOHNNY LYON CT
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77807-1578
Mailing Address - Country:US
Mailing Address - Phone:208-973-7366
Mailing Address - Fax:
Practice Address - Street 1:2210 JOHNNY LYON CT
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77807-1578
Practice Address - Country:US
Practice Address - Phone:208-973-7366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1407054225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist