Healthcare Provider Details

I. General information

NPI: 1659093979
Provider Name (Legal Business Name): SARAH YEMANE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2022
Last Update Date: 09/13/2022
Certification Date: 09/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8001 LYNBROOK DR
BETHESDA MD
20814-4642
US

IV. Provider business mailing address

15600 WISTAR PL
BRANDYWINE MD
20613-6208
US

V. Phone/Fax

Practice location:
  • Phone: 240-740-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: