Healthcare Provider Details

I. General information

NPI: 1245778992
Provider Name (Legal Business Name): SARAH CHRISTINE BERNSTEIN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH CHRISTINE DEHNBOSTEL OTR/L

II. Dates (important events)

Enumeration Date: 02/02/2017
Last Update Date: 04/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 TOWN CENTER DRIVE STE SUITE 300
RESTON VA
20190
US

IV. Provider business mailing address

1860 TOWN CENTER DRIVE SUITE 300
RESTON VA
20190
US

V. Phone/Fax

Practice location:
  • Phone: 703-483-4656
  • Fax: 703-787-6575
Mailing address:
  • Phone: 703-483-4656
  • Fax: 703-787-6575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119007206
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: