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NPI Code Detail

MEDICARE: SARAH WEINER OTR/L

MEDICARE: SARAH WEINER OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist4853AZ

General Provider Information

NPI Number : 1063785913
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH WEINER OTR/L
Provider Business Mailing Address
First Line : 6021 N 10TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-1931
Country : US
Telephone Number : 602-714-6024
Fax Number :
Provider Business Practice Location Address
First Line : 5601 N 16TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-2903
Country : US
Telephone Number : 602-664-7927
Fax Number : 602-664-7999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2012
Last Update Date : 02/22/2012

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