MEDICARE: MEGHAN SARBANIS

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	OC010983	PA

General Provider Information

NPI Number	:	1750520565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN SARBANIS

Provider Business Mailing Address
First Line	:	4410 SANSOM ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-2916
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4410 SANSOM ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-2916
Country	:	US
Telephone Number	:	215-508-3300
Fax Number	:

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

Provider Enumeration Date	:	02/18/2009
Last Update Date	:	03/24/2009

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