Provider Demographics
NPI:1861520728
Name:NORVAL, SARA A (DPT)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:A
Last Name:NORVAL
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 1:204 N 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MS
Mailing Address - Zip Code:39440-4122
Mailing Address - Country:US
Mailing Address - Phone:601-342-2344
Mailing Address - Fax:601-651-2146
Practice Address - Street 1:204 N 15TH AVE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39440-4122
Practice Address - Country:US
Practice Address - Phone:601-342-2344
Practice Address - Fax:601-651-2146
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3190225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist