Provider Demographics
NPI:1902279482
Name:MICHAEL, SARAH (OCCUPATIONAL THERAPI)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MICHAEL
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26420 KENSINGTON PL STE C
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-5123
Mailing Address - Country:US
Mailing Address - Phone:251-517-0355
Mailing Address - Fax:251-625-1969
Practice Address - Street 1:26420 KENSINGTON PL
Practice Address - Street 2:SUITE C
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-5120
Practice Address - Country:US
Practice Address - Phone:251-517-0355
Practice Address - Fax:251-625-1969
Is Sole Proprietor?:No
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4028225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist