MEDICARE: SARAH MOONEY

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	OT5712	AL

General Provider Information

NPI Number	:	1487377248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH MOONEY

Provider Business Mailing Address
First Line	:	251 JOHNSTON ST SE STE 200
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-2515
Country	:	US
Telephone Number	:	256-350-1764
Fax Number	:

Provider Business Practice Location Address
First Line	:	1510 N BRINDLEE MOUNTAIN PKWY
Second Line	:
City	:	ARAB
State	:	AL
Zip	:	35016-5723
Country	:	US
Telephone Number	:	256-931-2013
Fax Number	:	256-931-2014

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

Provider Enumeration Date	:	09/26/2022
Last Update Date	:	09/26/2022

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Directions to “ SARAH MOONEY ” Practice Location

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