MEDICARE: SARAH NOEL LONGUIL 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
1	225X00000X	Occupational Therapist	125890	TX

General Provider Information

NPI Number	:	1154258598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH NOEL LONGUIL OTR/L

Provider Business Mailing Address
First Line	:	6574 STAGECOACH RD
Second Line	:
City	:	CONESUS
State	:	NY
Zip	:	14435-9628
Country	:	US
Telephone Number	:	585-991-3636
Fax Number	:

Provider Business Practice Location Address
First Line	:	2777 RICHMOND HWY STE 109
Second Line	:
City	:	STAFFORD
State	:	VA
Zip	:	22554-8323
Country	:	US
Telephone Number	:	540-318-8615
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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