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NPI Code Detail

MEDICARE: SARAH WHITEHEAD OTR/L

MEDICARE: SARAH WHITEHEAD 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
1225XP0200XPediatric Occupational Therapist6046AL

General Provider Information

NPI Number : 1851097752
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH WHITEHEAD OTR/L
Provider Business Mailing Address
First Line : 3775 ROSS CLARK CIR
Second Line :
City : DOTHAN
State : AL
Zip : 36303-2251
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3775 ROSS CLARK CIR
Second Line :
City : DOTHAN
State : AL
Zip : 36303-2251
Country : US
Telephone Number : 334-796-8395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2023
Last Update Date : 02/01/2023

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Directions to “ SARAH WHITEHEAD OTR/L” Practice Location

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