MEDICARE: MRS. SARA D UHRIG O.T.R. 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	225XH1200X	Hand Occupational Therapist	OT 1504	FL

General Provider Information

NPI Number	:	1902993249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARA D UHRIG O.T.R. L.

Provider Business Mailing Address
First Line	:	50 S OLD DIXIE HWY
Second Line	:	SUITE 1A
City	:	JUPITER
State	:	FL
Zip	:	33458-3570
Country	:	US
Telephone Number	:	561-575-4772
Fax Number	:	561-575-4522

Provider Business Practice Location Address
First Line	:	3230 LAKE WORTH RD
Second Line	:	SUITE C
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-3694
Country	:	US
Telephone Number	:	561-968-7788
Fax Number	:	561-968-9969

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

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	11/21/2011

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