Provider Demographics
NPI:1831447796
Name:SABATE, CARISSA (PT)
Entity type:Individual
Prefix:MRS
First Name:CARISSA
Middle Name:
Last Name:SABATE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1296 CROW WAY
Mailing Address - Street 2:APT 100
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-6464
Mailing Address - Country:US
Mailing Address - Phone:407-681-2999
Mailing Address - Fax:
Practice Address - Street 1:1296 CROW WAY
Practice Address - Street 2:APARTMENT 100
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-6464
Practice Address - Country:US
Practice Address - Phone:407-681-2999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9520225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist