Healthcare Provider Details

I. General information

NPI: 1093627549
Provider Name (Legal Business Name): SARAH THORNTON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11234 ANDERSON ST
LOMA LINDA CA
92350-1716
US

IV. Provider business mailing address

26158 LONG ST
LOMA LINDA CA
92354-6557
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-8000
  • Fax:
Mailing address:
  • Phone: 503-400-0088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number26559
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number26559
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: