MEDICARE: CAROL SARDINHA

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	09763	MD

General Provider Information

NPI Number	:	1982312963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL SARDINHA

Provider Business Mailing Address
First Line	:	7 CARNEGIE PLZ
Second Line	:
City	:	CHERRY HILL
State	:	NJ
Zip	:	08003-1000
Country	:	US
Telephone Number	:	877-407-3422
Fax Number	:	877-407-4329

Provider Business Practice Location Address
First Line	:	7819 ROCKY SPRINGS RD
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-2824
Country	:	US
Telephone Number	:	877-407-3422
Fax Number	:	877-407-4329

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

Provider Enumeration Date	:	11/09/2022
Last Update Date	:	11/09/2022

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