MEDICARE: SARAH WELSH COTA/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	224Z00000X	Occupational Therapy Assistant	OTA.05869	OH

General Provider Information

NPI Number	:	1215380084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH WELSH COTA/L

Provider Business Mailing Address
First Line	:	35 CEDAR POINT RD UNIT F
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-5234
Country	:	US
Telephone Number	:	440-567-1914
Fax Number	:

Provider Business Practice Location Address
First Line	:	8479 ROCKEFELLER LN
Second Line	:
City	:	SAGAMORE HILLS
State	:	OH
Zip	:	44067-1075
Country	:	US
Telephone Number	:	330-998-2055
Fax Number	:

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

Provider Enumeration Date	:	07/18/2016
Last Update Date	:	07/18/2016

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Directions to “ SARAH WELSH COTA/L” Practice Location

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