Provider Demographics
NPI:1861740995
Name:OUREN, SARAH RAE (DPT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:RAE
Last Name:OUREN
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 1:2140 HOLLOWBROOK DRIVE, SUITE 200
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-6940
Mailing Address - Country:US
Mailing Address - Phone:620-480-9361
Mailing Address - Fax:
Practice Address - Street 1:6011 E WOODMEN RD STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-2605
Practice Address - Country:US
Practice Address - Phone:719-571-8888
Practice Address - Fax:719-571-8889
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-04409225100000X
COPTL0011652225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist