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NPI Code Detail

MEDICARE: MRS. SARAH MOHIELDIN KHALIL MS, OTR/L

MEDICARE: MRS. SARAH MOHIELDIN KHALIL MS, 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 Therapist027476-01NY
2225X00000XOccupational Therapist027476-01NY

General Provider Information

NPI Number : 1912686007
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH MOHIELDIN KHALIL MS, OTR/L
Provider Business Mailing Address
First Line : 87 MEAD ST
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-4444
Country : US
Telephone Number : 717-634-6045
Fax Number :
Provider Business Practice Location Address
First Line : 87 MEAD ST
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-4444
Country : US
Telephone Number : 716-204-5925
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2023
Last Update Date : 02/07/2024

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