Healthcare Provider Details

I. General information

NPI: 1194633883
Provider Name (Legal Business Name): SARAH COOPER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3399 BRODHEAD RD
ALIQUIPPA PA
15001-1261
US

IV. Provider business mailing address

400 OLD MILL RD APT 209
OAKDALE PA
15071-3875
US

V. Phone/Fax

Practice location:
  • Phone: 724-888-2548
  • Fax:
Mailing address:
  • Phone: 267-636-2670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOC021632
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: