Provider Demographics
NPI:1871634030
Name:DI THOMAS, SARAH F (LMT)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:F
Last Name:DI THOMAS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 FARGO AVE
Mailing Address - Street 2:UPPER
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14201-1142
Mailing Address - Country:US
Mailing Address - Phone:716-903-6844
Mailing Address - Fax:
Practice Address - Street 1:616 POTOMAC AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-1214
Practice Address - Country:US
Practice Address - Phone:716-884-4450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019248225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist