Healthcare Provider Details

I. General information

NPI: 1700688900
Provider Name (Legal Business Name): SARAH ELIZABETH DANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 N HIGHLANDS PKWY
TACOMA WA
98406-2116
US

IV. Provider business mailing address

11415 22ND AVE E UNIT 15
TACOMA WA
98445-3780
US

V. Phone/Fax

Practice location:
  • Phone: 253-752-7112
  • Fax:
Mailing address:
  • Phone: 253-381-5379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number61528393
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: