MEDICARE: SARAH MICHELLE BRENBERG MOREL 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	225XP0200X	Pediatric Occupational Therapist	0006412	CO
2	225X00000X	Occupational Therapist	13266	CA

General Provider Information

NPI Number	:	1295172864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH MICHELLE BRENBERG MOREL OTR/L

Provider Business Mailing Address
First Line	:	739 WASHINGTON AVE
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80537-4813
Country	:	US
Telephone Number	:	651-325-8826
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 E HARMONY RD
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3280
Country	:	US
Telephone Number	:	970-221-1201
Fax Number	:

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

Provider Enumeration Date	:	05/23/2013
Last Update Date	:	06/17/2024

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Directions to “ SARAH MICHELLE BRENBERG MOREL OTR/L” Practice Location

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