Healthcare Provider Details

I. General information

NPI: 1073044947
Provider Name (Legal Business Name): SARAH E. LINDEN MOT,OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH E.L. SALTERIO MOT, OTR/L

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 02/02/2024
Certification Date: 02/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25060 CULTUS LN
BEND OR
97701-9638
US

IV. Provider business mailing address

740 NE ISABELLA LN
BEND OR
97701-5270
US

V. Phone/Fax

Practice location:
  • Phone: 207-807-7147
  • Fax:
Mailing address:
  • Phone: 207-807-7147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number337785
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number337785
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: