Healthcare Provider Details

I. General information

NPI: 1467234666
Provider Name (Legal Business Name): SARAH BROOKE SPRABERRY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 10/23/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 UNIVERSITY BLVD # 405
BIRMINGHAM AL
35233-1816
US

IV. Provider business mailing address

170 UNIVERSITY BLVD 405
BIRMINGHAM AL
35294-0001
US

V. Phone/Fax

Practice location:
  • Phone: 205-488-0736
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number4690
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: