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NPI Code Detail

MEDICARE: SARAH RAY OTR

MEDICARE: SARAH RAY OTR
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 Therapist117566TX

General Provider Information

NPI Number : 1508347428
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH RAY OTR
Provider Business Mailing Address
First Line : 5657 AMESBURY DR APT 1704
Second Line :
City : DALLAS
State : TX
Zip : 75206-3037
Country : US
Telephone Number : 480-352-0173
Fax Number :
Provider Business Practice Location Address
First Line : 106 BELT LINE RD
Second Line :
City : GARLAND
State : TX
Zip : 75040-4104
Country : US
Telephone Number : 972-495-7700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2018
Last Update Date : 08/28/2018

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Directions to “ SARAH RAY OTR” Practice Location

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