MEDICARE: SARAH FEELEY METZGER-HEGEMAN 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	225XP0200X	Pediatric Occupational Therapist	15830	FL

General Provider Information

NPI Number	:	1558675843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH FEELEY METZGER-HEGEMAN MS OTR/L

Provider Business Mailing Address
First Line	:	3080 TIMPANA PT
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32779-3108
Country	:	US
Telephone Number	:	512-970-2438
Fax Number	:

Provider Business Practice Location Address
First Line	:	1809 E BROADWAY ST
Second Line	:	SUITE 122
City	:	OVIEDO
State	:	FL
Zip	:	32765-8597
Country	:	US
Telephone Number	:	407-222-6622
Fax Number	:

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

Provider Enumeration Date	:	07/29/2010
Last Update Date	:	07/08/2013

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