Healthcare Provider Details

I. General information

NPI: 1366087009
Provider Name (Legal Business Name): SARAH ELIZABETH GUY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2019
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29516 KOHOUTEK WAY
UNION CITY CA
94587-1221
US

IV. Provider business mailing address

553 29TH ST
OAKLAND CA
94609-3512
US

V. Phone/Fax

Practice location:
  • Phone: 510-441-8241
  • Fax:
Mailing address:
  • Phone: 510-542-7634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number4976
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: