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NPI Code Detail

MEDICARE: SARAH JEAN SYLVIA OTR/L

MEDICARE: SARAH JEAN SYLVIA 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
1225X00000XOccupational Therapist6561CT

General Provider Information

NPI Number : 1598572620
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH JEAN SYLVIA OTR/L
Provider Business Mailing Address
First Line : 18-4 ARTHUR DR
Second Line :
City : SOUTH WINDSOR
State : CT
Zip : 06074-6903
Country : US
Telephone Number : 860-508-4697
Fax Number :
Provider Business Practice Location Address
First Line : 14 CLUB RD
Second Line :
City : WINDHAM
State : CT
Zip : 06280-1000
Country : US
Telephone Number : 860-456-1107
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2024
Last Update Date : 12/12/2024

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Directions to “ SARAH JEAN SYLVIA OTR/L” Practice Location

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