Provider Demographics
NPI:1447465240
Name:MIGLIARESE, SARA JAMES (PT, MS, NCS)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:JAMES
Last Name:MIGLIARESE
Suffix:
Gender:F
Credentials:PT, MS, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8364 TUSCANY DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27023-9473
Mailing Address - Country:US
Mailing Address - Phone:336-946-5129
Mailing Address - Fax:
Practice Address - Street 1:8364 TUSCANY DR
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27023-9473
Practice Address - Country:US
Practice Address - Phone:336-946-5129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3915174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist