Healthcare Provider Details

I. General information

NPI: 1891275624
Provider Name (Legal Business Name): SARAH FRANCIS OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2018
Last Update Date: 08/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 MARINA DR
FORT WORTH TX
76135-2835
US

IV. Provider business mailing address

12031 VISTA RANCH WAY
FORT WORTH TX
76179-9136
US

V. Phone/Fax

Practice location:
  • Phone: 817-237-7231
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number107247
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: