Sara Fabry, | |
405 E 12450 S Ste F, Draper, UT 84020-7997 | |
(801) 571-6600 | |
Not Available |
Full Name | Sara Fabry |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 405 E 12450 S Ste F, Draper, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417137423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 121037-2401 (Utah) | Secondary |
225100000X | Physical Therapist | 1210372401 (Utah) | Primary |
Provider Name | Elite Therapy Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417405952 PECOS PAC ID: 1456632397 Enrollment ID: O20170106001802 |
Mailing Address | Practice Location Address |
---|---|
Sara Fabry, 405 E 12450 S Ste F, Draper, UT 84020-7997 Ph: (801) 571-6600 | Sara Fabry, 405 E 12450 S Ste F, Draper, UT 84020-7997 Ph: (801) 571-6600 |
Thomas J Tardif, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 | |
Mary Elizabeth Vandeven, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034 | |
Mrs. Jana Whitt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 65 E Wadsworth Park Dr Ste 320, Draper, UT 84020 Phone: 385-308-8034 | |
Dr. Joseph Guido Dubato, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 | |
Cristina Cerrone, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 74 E 11800 S Ste 200, Draper, UT 84020 Phone: 801-432-2070 | |
Madison Sloss, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034 | |
Jordan Theresa Mansfield, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 |