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NPI Code Detail

MEDICARE: SARAH B MATHIAS OT

MEDICARE: SARAH B MATHIAS OT
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
1225X00000XOccupational Therapist5593NC

General Provider Information

NPI Number : 1457560914
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH B MATHIAS OT
Provider Business Mailing Address
First Line : 4421 STUART ANDREW BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-1589
Country : US
Telephone Number : 980-343-6960
Fax Number :
Provider Business Practice Location Address
First Line : 4421 STUART ANDREW BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-1589
Country : US
Telephone Number : 980-343-6960
Fax Number : 999-999-9999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 04/13/2026

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