Healthcare Provider Details

I. General information

NPI: 1891237657
Provider Name (Legal Business Name): SARAH MARIE FOSBROOK LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2016
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5006 NW 35TH PL
OCALA FL
34482-4872
US

IV. Provider business mailing address

5006 NW 35TH PL
OCALA FL
34482-4872
US

V. Phone/Fax

Practice location:
  • Phone: 423-827-7816
  • Fax:
Mailing address:
  • Phone: 423-827-7816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number114532
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: