MEDICARE: SARAH ELIZABETH NORRIS MS, 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	171400000X	Health & Wellness Coach
2	225X00000X	Occupational Therapist	004600	GA
3	225X00000X	Occupational Therapist	OT.0004518	CO
4	225X00000X	Occupational Therapist	056.014444	IL

General Provider Information

NPI Number	:	1306069448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ELIZABETH NORRIS MS, OTR/L

Provider Business Mailing Address
First Line	:	1900 E GOLF RD
Second Line	:	STE 950 #311
City	:	SCHAUMBURG
State	:	IL
Zip	:	60173-5034
Country	:	US
Telephone Number	:	847-220-8390
Fax Number	:

Provider Business Practice Location Address
First Line	:	1042 S DUNTON AVE
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-3153
Country	:	US
Telephone Number	:	847-220-8390
Fax Number	:

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

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	09/26/2024

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