Healthcare Provider Details

I. General information

NPI: 1255014387
Provider Name (Legal Business Name): SARAH PRINTZ MSOTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH AARON

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CLOCKTOWER RIDGE DR
WINCHESTER VA
22603-3878
US

IV. Provider business mailing address

109 ORKNEY DR
WINCHESTER VA
22602-6832
US

V. Phone/Fax

Practice location:
  • Phone: 540-431-2800
  • Fax:
Mailing address:
  • Phone: 540-514-9514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1423
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119007346
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: