MEDICARE: SARAH DANIELLE THOMAS WILLIAMS 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
1	225X00000X	Occupational Therapist	06926	MD

General Provider Information

NPI Number	:	1649400540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH DANIELLE THOMAS WILLIAMS OT

Provider Business Mailing Address
First Line	:	831 E. UNIVERSITY BLVD
Second Line	:	SUITE 14
City	:	SILVER SPRING
State	:	MD
Zip	:	20903
Country	:	US
Telephone Number	:	301-891-4883
Fax Number	:

Provider Business Practice Location Address
First Line	:	831 UNIVERSITY BLVD E STE 14
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-2921
Country	:	US
Telephone Number	:	301-891-4883
Fax Number	:

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

Provider Enumeration Date	:	07/27/2009
Last Update Date	:	04/13/2018

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