Homan, Sara J

Homan, Sara J is an individual health care provider with primary practice located at 8811 N 51St Ave Ste 102, Glendale AZ 85302-4949. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Homan, Sara J can be contacted via phone (623) 915-2726.

Contact Information

Primary practice address
8811 N 51St Ave Ste 102 Glendale AZ 85302-4949
Phone: (623) 915-2726
Fax: (623) 915-2728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 488 Arizona

Profile Details

NPI number 1831192905
LBN Legal business name Homan, Sara J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Oct 16th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831192905 NPPES
Arizona MEDICAID 780884

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