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NPI Code Detail

MEDICARE: SARAH WHITWORTH OTR, OTD, CHT

MEDICARE: SARAH WHITWORTH OTR, OTD, CHT
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
1225X00000XOccupational Therapist112742TX
2225XH1200XHand Occupational Therapist112742TX

General Provider Information

NPI Number : 1972263853
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH WHITWORTH OTR, OTD, CHT
Provider Business Mailing Address
First Line : 1605 COUNTY ROAD 1155
Second Line :
City : BONHAM
State : TX
Zip : 75418-6805
Country : US
Telephone Number : 903-271-3664
Fax Number :
Provider Business Practice Location Address
First Line : 3903 N US HIGHWAY 75 STE 100
Second Line :
City : SHERMAN
State : TX
Zip : 75090-2578
Country : US
Telephone Number : 903-271-3664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2021
Last Update Date : 03/02/2022

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