Individual ProviderSara Colleen JardinePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address15800 95th Ave N, Maple Grove, MN 55369-4400(952) 993-1491PECOS EnrollmentBased on the most recent information from CMS, provider Sara Colleen Jardine does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1215025267Provider TypeIndividualFull NameJardine, Sara ColleenCredentialP.T.GenderFemaleSole ProprietorNoEnumeration Date10/11/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address15800 95th Ave N, Maple Grove, MN 55369-4400Phone(952) 993-1491FaxUnlisted FaxMailing LocationMailing Address15800 95th Ave N, Maple Grove, MN 55369-4400PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense6459Minnesota