Healthcare Provider Details

I. General information

NPI: 1811089907
Provider Name (Legal Business Name): SARAH MARGARET EGGEN-THORNHILL OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 11/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 ALAMEDA DE LAS PULGAS
REDWOOD CITY CA
94062-2751
US

IV. Provider business mailing address

170 ALAMEDA DE LAS PULGAS
REDWOOD CITY CA
94062-2751
US

V. Phone/Fax

Practice location:
  • Phone: 650-464-4429
  • Fax:
Mailing address:
  • Phone: 650-464-4429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License NumberOT482
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: