Healthcare Provider Details
I. General information
NPI: 1780427948
Provider Name (Legal Business Name): SABRINA JA'NET LAWSON OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/17/2024
Last Update Date: 07/12/2024
Certification Date: 07/12/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1744 E COMMON ST STE 400
NEW BRAUNFELS TX
78130-6079
US
IV. Provider business mailing address
1744 E COMMON ST STE 400
NEW BRAUNFELS TX
78130-6079
US
V. Phone/Fax
- Phone: 830-620-4922
- Fax:
- Phone: 830-891-8141
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XP0019X |
| Taxonomy | Physical Rehabilitation Occupational Therapist |
| License Number | 115532 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XH1200X |
| Taxonomy | Hand Occupational Therapist |
| License Number | 115532 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | 115532 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: