Healthcare Provider Details

I. General information

NPI: 1982136024
Provider Name (Legal Business Name): SARAH VEILLON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2017
Last Update Date: 01/12/2023
Certification Date: 01/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 US HIGHWAY 25 E STE 98
MIDDLESBORO KY
40965-2075
US

IV. Provider business mailing address

123 CLARE BON RD
HARROGATE TN
37752-3152
US

V. Phone/Fax

Practice location:
  • Phone: 606-499-2211
  • Fax:
Mailing address:
  • Phone: 606-499-2211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberR4211
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: